| Banyan Counseling Center, Inc. | |
|
2820 School St Alexandria VA 22303-2443 | |
| (703) 717-0999 | |
| (703) 717-0999 |
| Full Name | Banyan Counseling Center, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2820 School St, Alexandria, Virginia |
| Authorized Official Name and Position | Martha Louise Harris (PRESIDENT) |
| Authorized Official Contact | 7037170999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banyan Counseling Center, Inc. 2820 School St Alexandria VA 22303-2443 Ph: (703) 717-0999 | Banyan Counseling Center, Inc. 2820 School St Alexandria VA 22303-2443 Ph: (703) 717-0999 |
| NPI Number | 1437356979 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437356979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904002248 (Virginia) | Primary |
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