| Beyond Closed Doors Therapy Pllc | |
|
10246 Dale Dr Fairfax VA 22030-2302 | |
| (301) 799-5216 | |
| Not Available |
| Full Name | Beyond Closed Doors Therapy Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10246 Dale Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Azaria Zhane Davis (OWNER) |
| Authorized Official Contact | 3017995216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Closed Doors Therapy Pllc 225 Reserve Blvd Apt 302 Charlottesville VA 22901-1665 Ph: (631) 965-9493 | Beyond Closed Doors Therapy Pllc 10246 Dale Dr Fairfax VA 22030-2302 Ph: (301) 799-5216 |
| NPI Number | 1750195749 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750195749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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