Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prosperity Behavioral Healthcare, PLLC

Organization Psychologist · NPI 1679234744

Prosperity Behavioral Healthcare, PLLC is a Psychologist in Manassas, Virginia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11912 Hayes Station Way
Manassas, VA 20109-4845
Phone: (323) 420-8787
Fax: (443) 331-4441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1679234744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Tylor — Owner · (323) 420-8787
NPI enumeratedDecember 31, 2021
Last updated in NPPESDecember 31, 2021
Certification dateDecember 31, 2021
Mailing address11912 Hayes Station Way, Manassas, VA 20109-4845

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