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
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

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.

Specialist
1930 OPITZ BLVD
WOODBRIDGE, VA 22191
Psychologist (Clinical Child & Adolescent)
1930 OPITZ BLVD
WOODBRIDGE, VA 22191

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366007460, enumerated as an "organization" on May 03, 2019.

The provider is located at 1930 OPITZ BLVD WOODBRIDGE, VA 22191 and the phone number is (571) 318-5881.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.