| Counseling Associates, Llc | |
|
8401 Dorsey Cir Ste 201 Manassas VA 20110-8303 | |
| (703) 330-5155 | |
| (703) 330-5925 |
| Full Name | Counseling Associates, Llc |
|---|---|
| Speciality | Counselor |
| Location | 8401 Dorsey Cir Ste 201, Manassas, Virginia |
| Authorized Official Name and Position | David C. Banner (OWNER) |
| Authorized Official Contact | 7033305155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Associates, Llc 8401 Dorsey Cir Ste 201 Manassas VA 20110-8303 Ph: (703) 330-5155 | Counseling Associates, Llc 8401 Dorsey Cir Ste 201 Manassas VA 20110-8303 Ph: (703) 330-5155 |
| NPI Number | 1831264605 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6305389750 |
|---|---|
| Medicare Enrollment ID | O20240613003812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831264605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | David C Banner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235248923 PECOS PAC ID: 5092161646 Enrollment ID: I20240613003934 |
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