| Evolution Behavioral Health Services, Llc | |
|
23257 Southdown Manor Ter Unit 101 Ashburn VA 20148-8176 | |
| (571) 345-8357 | |
| Not Available |
| Full Name | Evolution Behavioral Health Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 23257 Southdown Manor Ter Unit 101, Ashburn, Virginia |
| Authorized Official Name and Position | Marcelo Lorenzo-luaces Pico (DIRECTOR) |
| Authorized Official Contact | 5713458357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Behavioral Health Services, Llc 23257 Southdown Manor Ter Unit 101 Ashburn VA 20148-8176 Ph: (571) 345-8357 | Evolution Behavioral Health Services, Llc 23257 Southdown Manor Ter Unit 101 Ashburn VA 20148-8176 Ph: (571) 345-8357 |
| NPI Number | 1376287276 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376287276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
The Resilience Network Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 44335 Premier Plz Ste 230, Ashburn, VA 20147 Phone: 571-498-0109 | |
The Blue Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20037 Silver Creek Ter, Ashburn, VA 20147 Phone: 541-316-8018 | |
Center For Autism And Related Disorders Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43490 Yukon Dr Ste 104, Ashburn, VA 20147 Phone: 703-936-2122 | |
Karen Kingsley, Ph.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22563 Forest Manor Dr, Ashburn, VA 20148 Phone: 703-723-9404 | |
Neutral Ground Counseling Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 44121 Harry Byrd Hwy Ste 225, Ashburn, VA 20147 Phone: 703-988-4236 Fax: 703-721-7598 | |
Bridgestone Mental Wellness & Therapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 43736 Tolamac Dr, Ashburn, VA 20147 Phone: 240-441-1888 | |
Giovanna Morena M.d, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20749 Rainsboro Dr, Ashburn, VA 20147 Phone: 703-723-1980 Fax: 703-723-1994 |