| Amber Dise Psychiatry And Wellness Pllc | |
|
9524 Workhouse Rd Rm 402 Lorton VA 22079-2641 | |
| (571) 398-9278 | |
| Not Available |
| Full Name | Amber Dise Psychiatry And Wellness Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9524 Workhouse Rd Rm 402, Lorton, Virginia |
| Authorized Official Name and Position | Amber Nicole Antoinnette Dise (NURSE PRACTITIONER) |
| Authorized Official Contact | 5713989278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Dise Psychiatry And Wellness Pllc 12572 Plymouth Ct Woodbridge VA 22192-2321 Ph: (703) 498-7684 | Amber Dise Psychiatry And Wellness Pllc 9524 Workhouse Rd Rm 402 Lorton VA 22079-2641 Ph: (571) 398-9278 |
| NPI Number | 1508608654 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508608654 | NPI | - | NPPES |
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