Provider Demographics
NPI:1669560470
Name:STERLING BEHAVIORAL HEALTH SERVICES, LTD
Entity type:Organization
Organization Name:STERLING BEHAVIORAL HEALTH SERVICES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLENEUVE
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:703-858-9841
Mailing Address - Street 1:20905 PROFESSIONAL PLZ
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-7783
Mailing Address - Country:US
Mailing Address - Phone:703-858-9841
Mailing Address - Fax:703-858-9446
Practice Address - Street 1:20905 PROFESSIONAL PLZ
Practice Address - Street 2:SUITE 220
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7783
Practice Address - Country:US
Practice Address - Phone:703-858-9841
Practice Address - Fax:703-858-9446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003678103TC0700X
VA01010361492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty