Matrix Behavioral Health Practice Llc | |
210 S Braddock St Winchester VA 22601-4090 | |
(703) 853-0959 | |
Not Available |
Full Name | Matrix Behavioral Health Practice Llc |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 210 S Braddock St, Winchester, Virginia |
Authorized Official Name and Position | Brenda Leona Ridgeway (CEO/CLINICAL PRACTITIONER) |
Authorized Official Contact | 8032609897 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Matrix Behavioral Health Practice Llc 12137 Dogwood Ln Culpeper VA 22701-1352 Ph: (803) 260-9897 | Matrix Behavioral Health Practice Llc 210 S Braddock St Winchester VA 22601-4090 Ph: (703) 853-0959 |
NPI Number | 1194213918 |
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Provider Enumeration Date | 04/26/2018 |
Last Update Date | 07/08/2021 |
Certification Date | 07/08/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194213918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 525 (Kansas) | Primary |
103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
News Archive
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