De La Cruz, Maximo

De La Cruz, Maximo is an sole proprietor health care provider with primary practice located at 7530 Diplomat Dr Ste 101 , Manassas VA 20109-2682. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. De La Cruz, Maximo can be contacted via phone (571) 572-0050.

Contact Information

Primary practice address
7530 Diplomat Dr Ste 101 Manassas VA 20109-2682
Phone: (571) 572-0050
Fax: (888) 315-4281
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Virginia
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 3329-05-001 Virginia
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 3329 Virginia

Profile Details

NPI number 1043875248
LBN Legal business name De La Cruz, Maximo
Credentials QMHP-A-MA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2019
Last updated Jan 20th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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