| Prismatic Therapy Llc | |
|
4533 Raleigh Ave Alexandria VA 22304-6972 | |
| (703) 249-9523 | |
| Not Available |
| Full Name | Prismatic Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4533 Raleigh Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Megan Green (OWNER AND PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7032499523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prismatic Therapy Llc 1602 Belle View Blvd # 4120 Alexandria VA 22307-6531 Ph: () - | Prismatic Therapy Llc 4533 Raleigh Ave Alexandria VA 22304-6972 Ph: (703) 249-9523 |
| NPI Number | 1508539370 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 08/10/2021 |
| Certification Date | 08/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508539370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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