| Calexar Llc | |
|
1509 Barksdale Dr Ne Leesburg VA 20176-6606 | |
| (571) 271-3250 | |
| Not Available |
| Full Name | Calexar Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1509 Barksdale Dr Ne, Leesburg, Virginia |
| Authorized Official Name and Position | Addrianne Coombs (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 5712713250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calexar Llc 1509 Barksdale Dr Ne Leesburg VA 20176-6606 Ph: (571) 271-3250 | Calexar Llc 1509 Barksdale Dr Ne Leesburg VA 20176-6606 Ph: (571) 271-3250 |
| NPI Number | 1699286930 |
|---|---|
| Provider Enumeration Date | 10/13/2017 |
| Last Update Date | 11/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699286930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0024164470 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024164470 (Virginia) | Primary |
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