| Alive Rehab & Counseling Llc | |
|
500 N Washington St Ste 101 Alexandria VA 22314-2314 | |
| (703) 646-8806 | |
| (703) 570-5177 |
| Full Name | Alive Rehab & Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 500 N Washington St Ste 101, Alexandria, Virginia |
| Authorized Official Name and Position | Janell Johnson (CO OWNER/LPC) |
| Authorized Official Contact | 7036468806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alive Rehab & Counseling Llc 500 N Washington St Ste 101 Alexandria VA 22314-2314 Ph: (703) 646-8806 | Alive Rehab & Counseling Llc 500 N Washington St Ste 101 Alexandria VA 22314-2314 Ph: (703) 646-8806 |
| NPI Number | 1720553878 |
|---|---|
| Provider Enumeration Date | 10/04/2018 |
| Last Update Date | 10/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720553878 | NPI | - | NPPES |
| 1215465604 | Other | VA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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