| Blue Box Psychotherapy Inc | |
|
2121 Eisenhower Ave Ste 300 Alexandria VA 22314-4688 | |
| (571) 551-6839 | |
| Not Available |
| Full Name | Blue Box Psychotherapy Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2121 Eisenhower Ave Ste 300, Alexandria, Virginia |
| Authorized Official Name and Position | Asha Gray (OWNER) |
| Authorized Official Contact | 7735318390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Box Psychotherapy Inc 7982 Hidden Bridge Dr Springfield VA 22153-3206 Ph: (773) 531-8390 | Blue Box Psychotherapy Inc 2121 Eisenhower Ave Ste 300 Alexandria VA 22314-4688 Ph: (571) 551-6839 |
| NPI Number | 1225799653 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 01/07/2022 |
| Certification Date | 01/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225799653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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