| Ephesians Life Ministries | |
|
260 Cedar Ln Se # B Vienna VA 22180-6698 | |
| (703) 204-0250 | |
| Not Available |
| Full Name | Ephesians Life Ministries |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 260 Cedar Ln Se # B, Vienna, Virginia |
| Authorized Official Name and Position | Sunny S Park (THERAPIST) |
| Authorized Official Contact | 2404723216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ephesians Life Ministries 1620 Elton Rd Ste 204 Silver Spring MD 20903-1760 Ph: (301) 439-7191 | Ephesians Life Ministries 260 Cedar Ln Se # B Vienna VA 22180-6698 Ph: (703) 204-0250 |
| NPI Number | 1003967563 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003967563 | NPI | - | NPPES |
| 7839381 | Other | MD | AETNA |
| 258321 | Other | MD | KAISER |
| 2133171 | Other | MD | MAMSI |
| 351252 | Other | MD | MHN |
| 633647 | Other | MD | NCPPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11220 (Maryland) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0904005471 (Virginia) | Primary |
The Porto Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2646 Glengyle Dr, Vienna, VA 22181 Phone: 703-470-1202 | |
Zdp Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 Symphony Cir Sw, Vienna, VA 22180 Phone: 302-345-7365 | |
The Collaborative Good, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Park St Ne, #3b, Vienna, VA 22180 Phone: 718-974-7037 | |
Megan E Fellows Lpc, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 Park St Ne, Suite 10-a, Vienna, VA 22180 Phone: 571-296-0583 Fax: 703-991-9149 | |
Lauren Staadeker, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Springwood Ct Ne, Vienna, VA 22180 Phone: 301-332-8098 | |
Molinari Counseling And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1747 Tysons Central St Apt 1215, Vienna, VA 22182 Phone: 703-935-9869 |