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ABSOLUTE MENTAL HEALTH CLINIC LLC
NPI 1366007460
Clinic/Center - Adolescent and Children Mental Health in Woodbridge, VA

Active since May 03, 2019
1930 OPITZ BLVD, WOODBRIDGE, VA 22191(571) 318-5881(571) 318-5836 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 21, 2025, May 3, 2019 (2 updates tracked since 2019).

About Absolute Mental Health Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABSOLUTE MENTAL HEALTH CLINIC LLC (NPI 1366007460) is a healthcare organization registered as an adolescent and children mental health in Woodbridge, Virginia and active in the NPI registry since May 2019. The organization maintains a secondary practice location in Woodbridge and lists Maximo De La Cruz, Chief Director, as its authorized official.

NPPES Registry Identity

NPI1366007460
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameABSOLUTE MENTAL HEALTH CLINIC LLC
Location Address1930 OPITZ BLVDWoodbridge, VA 22191-3304
Mailing Address1930 Opitz BlvdWoodbridge, VA 22191-3304 · (571) 398-2758 · Fax (888) 315-4281
Phone(571) 318-5881
Fax(571) 318-5836
Organization SubpartNo
Authorized OfficialMaximo De La CruzChief Director · (571) 572-0050
Enumeration DateMay 3, 2019
Last NPPES UpdateJune 11, 20262 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1366007460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

1930 OPITZ BLVD, Woodbridge, VA 22191
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Secondary Practice Location 1

Location 11303 Florida AveWoodbridge, VA 22191-3620 · Phone (571) 398-2758

Other Identifiers 2

Other201509030074274VA · Certificate Of Assumed Or Fictitious Name
Medicaid30015289960001VA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AYSEGUL SOYER MD PLC
Specialist
1930 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 497-9950
ABSOLUTE MENTAL HEALTH CLINIC LLC
Psychologist (Clinical Child & Adolescent)
1930 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (571) 398-2758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Absolute Mental Health Clinic LLC's NPI number?

The NPI number for Absolute Mental Health Clinic LLC is 1366007460. It was assigned to this organization in the NPPES registry on May 3, 2019.

Where is Absolute Mental Health Clinic LLC located?

Absolute Mental Health Clinic LLC is located at 1930 Opitz Blvd, Woodbridge, VA 22191. The listed phone number is (571) 318-5881.

What is Absolute Mental Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Absolute Mental Health Clinic LLC was last updated on June 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.