Provider Demographics
NPI:1538914197
Name:MERCY MENTAL HEALTH & BEHAVIOR, INC.
Entity type:Organization
Organization Name:MERCY MENTAL HEALTH & BEHAVIOR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ORIAKU
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:240-460-2211
Mailing Address - Street 1:5510 CHEROKEE AVE STE 300-N2
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2320
Mailing Address - Country:US
Mailing Address - Phone:571-620-3815
Mailing Address - Fax:301-304-4380
Practice Address - Street 1:5510 CHEROKEE AVE STE 300-N2
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2320
Practice Address - Country:US
Practice Address - Phone:571-620-3815
Practice Address - Fax:301-304-4380
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERCY MENTAL HEALTH & BEHAVIOR, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-18
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health