Asg Psychological Services, Llc | |
14737 Truitt Farm Dr Centreville VA 20120-5413 | |
(919) 645-7414 | |
Not Available |
Full Name | Asg Psychological Services, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 14737 Truitt Farm Dr, Centreville, Virginia |
Authorized Official Name and Position | Abdul Ghafoori (OWNER) |
Authorized Official Contact | 9196457414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Asg Psychological Services, Llc 14737 Truitt Farm Dr Centreville VA 20120-5413 Ph: (919) 645-7414 | Asg Psychological Services, Llc 14737 Truitt Farm Dr Centreville VA 20120-5413 Ph: (919) 645-7414 |
NPI Number | 1366221616 |
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Provider Enumeration Date | 09/26/2023 |
Last Update Date | 09/26/2023 |
Certification Date | 09/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366221616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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