| Fountain Of Life Llc | |
|
450 W Broad St Ste 211 Falls Church VA 22046-3318 | |
| (571) 277-4919 | |
| (703) 241-1122 |
| Full Name | Fountain Of Life Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 450 W Broad St Ste 211, Falls Church, Virginia |
| Authorized Official Name and Position | Lisa Klewicki (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5712774919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Of Life Llc 450 W Broad St Ste 211 Falls Church VA 22046-3318 Ph: (571) 277-4919 | Fountain Of Life Llc 450 W Broad St Ste 211 Falls Church VA 22046-3318 Ph: (571) 277-4919 |
| NPI Number | 1396286019 |
|---|---|
| Provider Enumeration Date | 03/14/2017 |
| Last Update Date | 03/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396286019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810002980 (Virginia) | Primary |
Connected Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Park Ave, Suite 203, Falls Church, VA 22046 Phone: 571-276-3113 | |
Nbl Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 N Washington St Ste 100, Falls Church, VA 22046 Phone: 571-266-0818 | |
Sherry Sutherland, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Little Falls St, Suite 205, Falls Church, VA 22046 Phone: 703-533-8007 Fax: 703-433-1558 | |
Grenell Associates Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6107g Arlington Blvd, Falls Church, VA 22044 Phone: 703-536-7554 | |
Lisa J. Meier, Ph.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7700 Leesburg Pike, Suite 202, Falls Church, VA 22043 Phone: 301-320-2417 | |
Goyal Medpsych Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2960 Sleepy Hollow Rd, Falls Church, VA 22044 Phone: 701-200-4910 | |
Brooke Johnson, Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 105 N Virginia Ave Ste 306, Falls Church, VA 22046 Phone: 703-844-2539 |