| Enduring Connections, Plc | |
|
3611 Chain Bridge Rd Ste D Fairfax VA 22030-3246 | |
| (703) 865-8880 | |
| (703) 865-8891 |
| Full Name | Enduring Connections, Plc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3611 Chain Bridge Rd Ste D, Fairfax, Virginia |
| Authorized Official Name and Position | Sharon L Lucas (PRESIDENT) |
| Authorized Official Contact | 7038658880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enduring Connections, Plc 3611 Chain Bridge Rd Ste D Fairfax VA 22030-3246 Ph: (703) 865-8880 | Enduring Connections, Plc 3611 Chain Bridge Rd Ste D Fairfax VA 22030-3246 Ph: (703) 865-8880 |
| NPI Number | 1508020454 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 09/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508020454 | NPI | - | NPPES |
| 1508020454 | Medicaid | VA | |
| 354934 | Other | VA | ANTHEM BLUE CROSS AND BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904006205 (Virginia) | Primary |
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