Creating Space Therapy Pllc | |
12020 Sunrise Valley Dr Ste 100 Reston VA 20191-3429 | |
(571) 241-3915 | |
Not Available |
Full Name | Creating Space Therapy Pllc |
---|---|
Speciality | Counselor - Professional |
Location | 12020 Sunrise Valley Dr Ste 100, Reston, Virginia |
Authorized Official Name and Position | Sonia Castro-castillo (OWNER) |
Authorized Official Contact | 5712413915 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Creating Space Therapy Pllc 12020 Sunrise Valley Dr Ste 100 Reston VA 20191-3429 Ph: (571) 241-3915 | Creating Space Therapy Pllc 12020 Sunrise Valley Dr Ste 100 Reston VA 20191-3429 Ph: (571) 241-3915 |
NPI Number | 1134998982 |
---|---|
Provider Enumeration Date | 12/21/2023 |
Last Update Date | 12/22/2023 |
Certification Date | 12/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134998982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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