Healthcare Provider Details

I. General information

NPI: 1457047235
Provider Name (Legal Business Name): THE TRAUMA INFORMED-CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 WESTWOOD OFFICE PARK
FREDERICKSBRG VA
22401-5111
US

IV. Provider business mailing address

501 WESTWOOD OFFICE PARK
FREDERICKSBRG VA
22401-5111
US

V. Phone/Fax

Practice location:
  • Phone: 540-870-6302
  • Fax: 540-300-7888
Mailing address:
  • Phone: 540-870-6302
  • Fax: 540-300-7888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. VERONICA YVONNE GRIFFIN
Title or Position: DIRECTOR
Credential: LMSW
Phone: 540-870-6302