Mind Body Spirit Therapy PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Springfield, VA. Organization (NPI-2).
NPI number1811585953
StatusActive
Last updated in NPPESJan 5, 2021
Details
- NPI
- 1811585953
- Entity type
- Organization (NPI-2)
- Legal business name
- Mind Body Spirit Therapy PLLC
- Organization subpart
- No
- Enumeration date
- Jan 5, 2021
- Certification date
- Jan 5, 2021
- Last updated
- Jan 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
5320 Weymouth DrSpringfield, VA 22151-1502
Phone 301-538-5996
Mailing address
5320 Weymouth DrSpringfield, VA 22151-1502
Authorized official
Christina Halstead
Owner
3015385996
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