Mahoney, Christina

Mahoney, Christina is an individual health care provider with primary practice located at 6099 T C Walker Rd , Gloucester VA 23061-4403. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mahoney, Christina can be contacted via phone (804) 693-7800.

Contact Information

Primary practice address
6099 T C Walker Rd Gloucester VA 23061-4403
Phone: (804) 693-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X PPS-509972 Virginia
Behavioral Health & Social Service Providers / School 103TS0200X Virginia

Profile Details

NPI number 1225537368
LBN Legal business name Mahoney, Christina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2018
Last updated Feb 5th, 2018 - about 8 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225537368 NPPES
Virginia MEDICAID 0813000146

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