Healthcare Provider Details
I. General information
NPI: 1669365086
Provider Name (Legal Business Name): OPTUM BEHAVIORAL CARE OF VIRGINIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/03/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1110 MONTLIMAR DR STE 500
MOBILE AL
36609-1794
US
IV. Provider business mailing address
1 OPTUM CIR
EDEN PRAIRIE MN
55344-2956
US
V. Phone/Fax
- Phone: 941-499-0463
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VIRGINIA
MARIE
STEELMAN
Title or Position: VICE PRESIDENT
Credential:
Phone: 704-506-6267