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Prosperity Behavioral Healthcare, Pllc

Psychologist in Manassas, VA · enumerated 2021 · authorized official Stacy Tylor, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679234744

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Registry record

Entity type Organization (Type 2)
Legal business name Prosperity Behavioral Healthcare, Pllc
Practice address 11912 Hayes Station Way, Manassas, VA, 20109
Fax (443) 331-4441
Enumeration date Dec 31, 2021
Last updated in NPPES Dec 31, 2021

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Primary

Authorized official

Name Stacy Tylor
Title Owner

Other identifiers

Identifier Type State Issuer
1992015887 Other MD NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Prosperity Behavioral Healthcare, Pllc?
The NPI for Prosperity Behavioral Healthcare, Pllc is 1679234744, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Prosperity Behavioral Healthcare, Pllc?
NPPES lists Stacy Tylor (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-31.