MEDICARE: CENTER FOR COUNSELING AND BEHAVIORAL MEDICINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)		VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	087856	OTHER	VA	SENTARA
2	178550	OTHER	VA	COMPSYCH
3	7346205	OTHER	VA	AETNA HEALTH CARE
4	2007414	OTHER	VA	CIGNA BEHAVIORAL HEALTH
5	323687	OTHER	VA	ANTHEM BCBS
6	366110	OTHER	VA	VALUE OPTIONS
7	342367	OTHER	VA	MAMSI
8	237206	OTHER	VA	ANTHEM HEALTHKEEPERS

General Provider Information

NPI Number	:	1891892469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR COUNSELING AND BEHAVIORAL MEDICINE

Provider Business Mailing Address
First Line	:	PO BOX 2215
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-9112
Country	:	US
Telephone Number	:	804-717-5419
Fax Number	:	804-520-8595

Provider Business Practice Location Address
First Line	:	10106 KRAUSE RD
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-6572
Country	:	US
Telephone Number	:	804-717-5419
Fax Number	:	804-520-8595

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. AARON B MEKHOUBAT
Credential	:	PH.D.
Telephone Number	:	804-717-5419

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	07/21/2022

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Directions to “CENTER FOR COUNSELING AND BEHAVIORAL MEDICINE ” Practice Location

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