Provider Demographics
NPI:1134837131
Name:PRICE, FLORENE BARLOW (QMHP-A)
Entity type:Individual
Prefix:
First Name:FLORENE
Middle Name:BARLOW
Last Name:PRICE
Suffix:
Gender:F
Credentials:QMHP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14289 FELTY PL
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-3020
Mailing Address - Country:US
Mailing Address - Phone:571-235-7556
Mailing Address - Fax:
Practice Address - Street 1:14289 FELTY PL
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-3020
Practice Address - Country:US
Practice Address - Phone:571-235-7556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0732005608Medicaid
VA0733005044Medicaid