Provider Demographics
NPI:1992243448
Name:HARRISONBURG CENTER FOR RELATIONAL HEALTH, PLLC
Entity type:Organization
Organization Name:HARRISONBURG CENTER FOR RELATIONAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:CZYSZCZON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:540-246-2284
Mailing Address - Street 1:481 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-4225
Mailing Address - Country:US
Mailing Address - Phone:540-246-7592
Mailing Address - Fax:540-574-2214
Practice Address - Street 1:481 E MARKET ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4225
Practice Address - Country:US
Practice Address - Phone:540-246-7592
Practice Address - Fax:540-574-2214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-05
Last Update Date:2017-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health