| Bodymind Integrated Counseling Center | |
|
12701 Marblestone Dr Ste 350 Woodbridge VA 22192-8327 | |
| (571) 327-0890 | |
| Not Available |
| Full Name | Bodymind Integrated Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12701 Marblestone Dr Ste 350, Woodbridge, Virginia |
| Authorized Official Name and Position | Connor Keuntje (OWNER) |
| Authorized Official Contact | 5713270890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodymind Integrated Counseling Center Po Box 435 Occoquan VA 22125-0435 Ph: () - | Bodymind Integrated Counseling Center 12701 Marblestone Dr Ste 350 Woodbridge VA 22192-8327 Ph: (571) 327-0890 |
| NPI Number | 1679389217 |
|---|---|
| Provider Enumeration Date | 12/09/2024 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679389217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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