Provider Demographics
NPI:1346966793
Name:MENTAL HEALTH SOLUTIONS OF VA LLC
Entity Type:Organization
Organization Name:MENTAL HEALTH SOLUTIONS OF VA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:540-903-6276
Mailing Address - Street 1:4812 SOUTHPOINT PKWY
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-2658
Mailing Address - Country:US
Mailing Address - Phone:540-898-5283
Mailing Address - Fax:
Practice Address - Street 1:4812 SOUTHPOINT PKWY
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-2658
Practice Address - Country:US
Practice Address - Phone:540-898-5283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)