| David C Heebner, Llc | |
|
14143 Robert Paris Ct Chantilly VA 20151-4201 | |
| (703) 403-2773 | |
| Not Available |
| Full Name | David C Heebner, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 14143 Robert Paris Ct, Chantilly, Virginia |
| Authorized Official Name and Position | David Heebner (OWNER) |
| Authorized Official Contact | 7034032773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David C Heebner, Llc 14143 Robert Paris Ct Chantilly VA 20151-4201 Ph: (703) 403-2773 | David C Heebner, Llc 14143 Robert Paris Ct Chantilly VA 20151-4201 Ph: (703) 403-2773 |
| NPI Number | 1245807700 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 06/04/2021 |
| Certification Date | 06/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245807700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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