Provider Demographics
NPI:1578632758
Name:TIES THAT BIND, INC.
Entity Type:Organization
Organization Name:TIES THAT BIND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WILMA
Authorized Official - Middle Name:D
Authorized Official - Last Name:DALABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-642-2652
Mailing Address - Street 1:3065 GEORGE WASHINGTON MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:HAYES
Mailing Address - State:VA
Mailing Address - Zip Code:23072-3300
Mailing Address - Country:US
Mailing Address - Phone:804-642-2652
Mailing Address - Fax:804-684-9669
Practice Address - Street 1:3065 GEORGE WASHINGTON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:HAYES
Practice Address - State:VA
Practice Address - Zip Code:23072-3300
Practice Address - Country:US
Practice Address - Phone:804-642-2652
Practice Address - Fax:804-684-9669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty