Healthcare Provider Details

I. General information

NPI: 1629784996
Provider Name (Legal Business Name): THE ARIA GROUP MHS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 HOT SPRINGS WAY
STAFFORD VA
22554-7752
US

IV. Provider business mailing address

19 HOT SPRINGS WAY
STAFFORD VA
22554-7752
US

V. Phone/Fax

Practice location:
  • Phone: 804-490-1098
  • Fax:
Mailing address:
  • Phone: 804-490-1098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TIFFANI NICOLE CHAMBLIN
Title or Position: CEO
Credential:
Phone: 804-490-1098