[PDF] Application/Policy & Procedure Tracking Form - Virginia Department





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Active Participating BH Providers As of 04/01/2016 www molinahealthcare com/providers/oh/medicaid/forms/PDF/oh-non-par-bh-guide pdf PSYCHIATRY UC PHYSICIANS CO 234 GOODMAN ST BRIGHTVIEW LLC 2300 WALL ST STE F PSYCHOLOGY BKK SOLUTIONS LLC 27511 HOLIDAY LN STE 101 PERRYSBURG WOOD

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[PDF] Application/Policy & Procedure Tracking Form - Virginia Department

140 Brightview Residential Care, LLC DDGH-3542 145 Building Better Lives Community Services, LLC MI-3550 121 Lead Mental Health Services, LLC

[PDF] Application/Policy & Procedure Tracking Form -2014-Current (ABC

139 BreakThrough Therapeutic Supportive Services, LLC MHCSS-3540 141 Brightview Residential Care, LLC 122 Lead Mental Health Services, LLC

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[PDF] Application/Policy & Procedure Tracking Form - Virginia Department 35604_7p_p_tracking_december_15th_2018.pdf Application/Policy & Procedure Tracking Form -2014-Current (ABC/Call in)

CountAgency Name

Type of Service/License

#

120A Sovereign Place, LLCIDGH-3520

76Able Arms, LLCDDGH-3477

106Above & Beyond Family Services, LLCMHCSS-3506

27Access Community Resources, LLCSR-3425

135Advancing Communities Everywhere, LLCMHCSS

84Advocating for Peace, LLCMHCSS-3485

128Amber Noble Care, LLC (app & policy)DDGH-3528

54Anchor of Hope, LLCMHCSS-3454

99Andrea's Caring Corner, LLCDDGH-3499

58Arising Healthcare Services, LLCDDGH-3457

104Arrows of Purpose, LLCCOREMH-3530

129Ascent Homes, LLCDDGH-3529

141Beland Care Services, LLCDDGH-3543

150Bethel Residential Services, LLCDDGH-3555

49Betty Eastman, LCSW and Associates, Inc.MHCrisis-3455

13Beyond Believers, LLC DDGH-3410

46Blackwell's Family Services, LLCDDGH-3445

30Blessing Health Services, LLCDDGH-3427

138BreakThrough Therapeutic Supportive Services, LLCMHCSS-3540

140Brightview Residential Care, LLCDDGH-3542

145Building Better Lives Community Services, LLCMI-3550

158Capital City Shining StarsMHCSS-3562

41Caring Hearts Healthcare, LLCDDGH-3440

119Caritas Place, LLCDDGH-3519

107CBN Healthcare Residential Services, Inc.DDGH-3507

137Center for Great Expectations, LLCMHCSS-3539

160Changing Phases International, LLCMHCSS-3564

112Cione/McQueen Residences, LLCDDGH-3512

98Clinical Health Solution, LLCMHCSS-3498

93Collaborative Community, LLCDDGH-3495

86Comfort Supports Homes, LLCDDGH-3487

111Commitment to Excellence, LLCMHCSS-3511

146Community Hope, LLCID-3551

28Compassion Connexion Community Services, LLCMHCSS-3422

50Conway Adult Services, LLCDDGH-3448

25Counseling Associates of the Highlands, PLLCMHCSS-3423

136Creative Living Community Services, LLCDDGH-3538

85Darbre Healthcare Services, LLCDDGH-3486

7Debbie Parker, LLC dba Healing at Home, LLC MHCSS-3402

44Decide to Believe, LLCTAS-3443

8Destined for Brighter Futures Foundation, LLC MHCSS-3403

159Divine Youth Counseling, LLCIIH-3563

17Emafini, Inc.SAIOP-3415

52Empowering Others to Empower Themselves, LLCMHCSS-3450

154Enabling Change Rebuilding Communities Each Counseling ServicesSAIOP-3558

157Engaging Minds, LLCSAIOP-3561

116Engaging the Mind Support Services, LLCMHCSS-3516

101Everglow, LLCDDGH-3502

39Evergreen Assisted Living Community, LLCDDGH-3438

16Exceptional Family Services, LLCMHCSS-3414

96Fairview Housing Management CoprorationSASUPLIV-3497

40Faithful Beginnings Behavioral Health Services, LLCIIH-3439

102Family Aliance, LLCIIH-3503

34Family Connection, LLC MHCSS-3432

89Family Forward Services, LLCDD/MI/SA-CASE-3490

123Family Life Interventions, LLCIIHS-3524

4Family Solutions and Support Services, LLCMHCSS-3399

35First Choice Health Services, LLCDDGH-3433

127First Healthcare Rehabilitation, LLCCOREICFDD-3532

149Future Alliance, LLCMHCSS-3554

75Futures Treasures, LLCDDDS-3475

122Garrisons Supportive Living, LLCMHSAGHS-3523

110Gentle Hand Group Home, LLCDDGH-3510

26GM Healthcare Services, LLCDDGH-3424

83Golgota Health Services, Inc.DDSUPIH-3483

152Guardian Angels Homecare, LLCDDGH-3557

153Guardian Angels Homecare, LLCDDGH-3557

12H & H Loving Care Facilities, LLC DDGH-3409

15HALO Community Services, LLC MHCSS-3412

100Happy New Day, LLCIIH-3501

5Hargraves Outreach, Inc. SAIOP-3400

87Harmony Manor, LLCDDGH-3488

155Harvest Care Group, LLCDDGH-3559

91Heathly Home Solutions, LLCDDGH-3492

65Helen's Angel, LLCNonCENTERDS-3521

92Helping Hearts, LLCDDGH-3493

9Helping People Overcome Problems with Empowerment, LLC MHCSS-3404

22Ignited Families, LLCDDGH-3420

6Initial Thought Services, LLC MHCSS-3401

71Innovative Behavioral Health Solutions, LLCIIH-3470

108Innovative Enrichment Services, LLCMHCSS-3508

144Insight Recovery Centers, LLCSA-3546

103Inspire Family Services, LLCMHCSS-3504

156J & Q Adult Services, LLCNonCENTERDS-3560

21Juvy P Care Services, LLCDDGH-3419

133Key Clinic, LLCTAS-3535

121Lead Mental Health Services, LLCMHSBS-3522

90Leap of Faith Services, LLCDDGH-3491

18Lighthouse Residential Home, LLCDDGH-3416

79Lillie Mae Family Services, LLCDDGH-3480

36Lioness Community Care of Virginia, LLCDDGH-3434

20LOTUS Counseling Group, PLLCIIH-3418

78Loving Hands Home Health Care, LLCSR-3479

38M & A Healthcare Services, LLCDDGH-3437

60Mainstay Haven, LLCDDGH-3458

55My Life No Limits Support Services, LLCIIH-3452

61New Beginnings Family Services, LLCIIH-3461

62New Day Adult Care, LLCMHPsychRehab-3462

139New Hope Wellness, LLCMHCSS-3541

131New Paradigm Recovery, LLCSAIOP - 3534

88Oasis Residential Services, LLCSR-3489

2One Path One Purpose, LLC MHCSS-3396

66Optimum Youth Services, LLCCOREMH-3466

33Our Loving Hands, LLCDDGH-3431

80Oxford Atlantic Health System, LLCDDGH-3481

81P2 Provider Services, LLCSAIOP-3482

10Partners in Care, LLC DDDS-3407

14Passage Creek Center for Recovery, Inc. SAIOP-3411

11Peace of Mind Residential Care, LLC DDGH-3408

113Peaceful Health & Residential Services, LLCDDGH-3513

142Perseverance in Spite of Adversity, LLCIIH-3544

67Piece Homes, LLCDDGH-3467

143Place OF G.R.A.C.EMI-3545

114Pristine Healthcare Services, LLCDDGH-3514

105Prosper Homes, LLCDDGH-3505

57Pursing Unlimited Scholastic Heights, LLCTDT-3456

72Push Consultants, LLCTAS-3471

24QLIFE, LLCDDGH-3421

147Reaching MILESTONE Residential Services,LLCID-3552

47Reliable Home Care Services, LLCDDGH-3446

23Renewed Living Homes, LLCDDGH-3464

126Rescare of Virginia, LLC DDGH-3527

125Richmond Home, LLCDDGH-3526

29Ridgemont Family Care, LLCDDGH-3426

70Right Path Vision, Inc.DDGH-3469

97Rite Care Home Health Services, LLCDDGH-3500

132Riverside Counseling and Consulting, LLCMHCSS-3531

124Rokel Healthcare Services, LLCDDGHS-3525

19ROVIC Health Services, Inc.DDSUPIH-3417

64Royall Services, LLCMHCSS-3465

53RRR House of Love, LLCDDGH-3451

31Sacred Health, IncorporatedMHCSS-3428

77Sandston Care Virginia, LLCSAIOP-3478

59Serendipity 360, LLCDDGH-3459

51Serenity Alliance HC, Inc.DDSUPIH-3449

63Simple Solutions Psychiatry, LLCCOREMHCSS-3463

42Sister Sister Adult Day Support, LLCDDDS-3441

74Smiles Like Yours, LLCNonCENTERDS-3474

73Stephen Home Support, LLCDDGH-3473

69Supportive Therapeutic Options, LLCMHCrisisStabRes-3472

3SureHealth Care Services, LLC DDGH-3397

68T & T Residential Services, LLCDDGH-3468

151Taking A Positive Step, Inc.DDGH-3556

43The Olivia Taylor House, LLCDDGH-3442

48Tina's Love and Care, Inc.DDGH-3447

82Tomorrow's Dream, LLCDDGH-3484

134Transitions Therapeutic Services, LCCMHCSS-3536

1Tree of Life Family Services, LLC IIH-3398

118Trenace's Safe Haven, LLCDDSL-3518

95True Heart Counseling, LLCMHCSS-3496

56TT & M Community Services, LLCMHCSS-3453

109United Community Counseling Group, LLCMHCSS-3509

32Virginia Counseling Associates, LLCIIH-3429

117Virginia Health Operations, LLCMHCORE-3517

45VNS Care Group, LLCIIH-3444

115VOICES, LLCIIH-3515

148Wellness Integrative Supportive Resources, LLCMI-3553

130Young In Heart, LLCDDDS - 3533

37Youth Conne t of Virginia, Inc.TDT-3435

94Zion Residential Care, LLCDDGH-3494


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