Provider Demographics
NPI:1649388075
Name:BEHAVIOR & STRESS MANAGEMENT CENTER
Entity Type:Organization
Organization Name:BEHAVIOR & STRESS MANAGEMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:EMILIANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-520-7500
Mailing Address - Street 1:3236 BOULEVARD STE B
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-1456
Mailing Address - Country:US
Mailing Address - Phone:804-520-7500
Mailing Address - Fax:804-520-5650
Practice Address - Street 1:3236 BOULEVARD STE B
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-1456
Practice Address - Country:US
Practice Address - Phone:804-520-7500
Practice Address - Fax:804-520-5650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)