| Four Elements Behavioral Wellness Center | |
|
207 Park Ave Ste B3 Falls Church VA 22046-4312 | |
| (917) 435-7935 | |
| Not Available |
| Full Name | Four Elements Behavioral Wellness Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 207 Park Ave Ste B3, Falls Church, Virginia |
| Authorized Official Name and Position | Fangyu Qi (OWNER) |
| Authorized Official Contact | 9174357935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Elements Behavioral Wellness Center 13814 Branham Ct Centreville VA 20120-5200 Ph: (917) 435-7935 | Four Elements Behavioral Wellness Center 207 Park Ave Ste B3 Falls Church VA 22046-4312 Ph: (917) 435-7935 |
| NPI Number | 1134797970 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 07/25/2021 |
| Certification Date | 07/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134797970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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