Derosa Wellness Innovation, Llc - Mental Health Clinic in Reston, VA

Derosa Wellness Innovation, Llc is a mental health clinic (Counselor - Professional) in Reston, Virginia. The current practice location for Derosa Wellness Innovation, Llc is 11921 Freedom Dr Ste 550, Reston, Virginia. For appointments, you can reach them via phone at (703) 826-1353. The mailing address for Derosa Wellness Innovation, Llc is 11921 Freedom Dr Ste 550, Reston, Virginia and phone number is (703) 826-1353.

Derosa Wellness Innovation, Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1124716519. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (703) 826-1353.

Contact Information

Derosa Wellness Innovation, Llc
11921 Freedom Dr Ste 550
Reston
VA 20190-5635
(703) 826-1353
Not Available

Mental Health Clinic Profile

Full NameDerosa Wellness Innovation, Llc
SpecialityCounselor - Professional
Location11921 Freedom Dr Ste 550, Reston, Virginia
Authorized Official Name and PositionShirley Derosa (DIRECTOR)
Authorized Official Contact7038261353
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Derosa Wellness Innovation, Llc
11921 Freedom Dr Ste 550
Reston
VA 20190-5635

Ph: (703) 826-1353
Derosa Wellness Innovation, Llc
11921 Freedom Dr Ste 550
Reston
VA 20190-5635

Ph: (703) 826-1353

NPI Details:

NPI Number1124716519
Provider Enumeration Date04/25/2023
Last Update Date04/26/2023
Certification Date04/26/2023

Medical Identifiers

Medical identifiers for Derosa Wellness Innovation, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124716519NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Primary

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