| Fidelis Therapy, Llc | |
|
2555 Chain Bridge Rd Vienna VA 22181-5517 | |
| (703) 474-6427 | |
| Not Available |
| Full Name | Fidelis Therapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2555 Chain Bridge Rd, Vienna, Virginia |
| Authorized Official Name and Position | Eleanor Vincent (CEO/THERAPIST) |
| Authorized Official Contact | 7034746427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fidelis Therapy, Llc 11350 Random Hills Rd Fl 8 Fairfax VA 22030-6044 Ph: (702) 474-6427 | Fidelis Therapy, Llc 2555 Chain Bridge Rd Vienna VA 22181-5517 Ph: (703) 474-6427 |
| NPI Number | 1295252146 |
|---|---|
| Provider Enumeration Date | 08/22/2017 |
| Last Update Date | 08/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295252146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0701006683 (Virginia) | Primary |
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