Avesta Alternative Care | |
6861 Elm St Ste 3e Mc Lean VA 22101-6036 | |
(703) 646-6343 | |
Not Available |
Full Name | Avesta Alternative Care |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 6861 Elm St Ste 3e, Mc Lean, Virginia |
Authorized Official Name and Position | Ladan Eshkevari (OWNER) |
Authorized Official Contact | 7032017767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avesta Alternative Care 1268 Beverly Rd Mc Lean VA 22101-2834 Ph: (703) 201-7767 | Avesta Alternative Care 6861 Elm St Ste 3e Mc Lean VA 22101-6036 Ph: (703) 646-6343 |
NPI Number | 1447992961 |
---|---|
Provider Enumeration Date | 04/13/2022 |
Last Update Date | 04/13/2022 |
Certification Date | 04/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447992961 | NPI | - | NPPES |
1033703061 | Other | NPI | |
1073153805 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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