Absolute Mental Health Clinic LLC

Organization Active NPI Clinical Child & Adolescent Psychologist · Woodbridge, VA

NPI 1861369977 · NPPES record last updated Oct 22, 2025

Key facts

NPI
1861369977
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Child & Adolescent Psychologist 103TC2200X
Legal business name
ABSOLUTE MENTAL HEALTH CLINIC LLC
Practice address
1930 Opitz Blvd
Woodbridge, VA 22191-3304
Phone
(571) 398-2758
Fax
(888) 315-4281
NPI assigned
Oct 22, 2025
Organization subpart
No

Authorized official

Name
Mr. Maximo De la Cruz, BA-MA-QMHP
Title
Chief Director
Phone
(571) 572-0050

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Absolute Mental Health Clinic LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist
Group: 193400000X SINGLE SPECIALTY GROUP
103TC2200X Yes
Clinic/Center 261Q00000X

Addresses

Primary practice location

1930 Opitz Blvd
Woodbridge, VA 22191-3304

Mailing address

1930 Opitz Blvd
Woodbridge, VA 22191-3304
Phone (571) 572-0050

Other providers in Woodbridge, VA

All providers in Woodbridge, VA · Clinical Child & Adolescent Psychologist in Virginia

Sources for this page

Verify at the official NPI Registry.