| Good Grounds Health Co | |
|
12721 Darby Brook Ct Woodbridge VA 22192-2408 | |
| (703) 662-3659 | |
| Not Available |
| Full Name | Good Grounds Health Co |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12721 Darby Brook Ct, Woodbridge, Virginia |
| Authorized Official Name and Position | Sharquita Dudley (OWNER) |
| Authorized Official Contact | 7036623659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Grounds Health Co 9480 Main St # 1005 Fairfax VA 22031-4032 Ph: (703) 662-3659 | Good Grounds Health Co 12721 Darby Brook Ct Woodbridge VA 22192-2408 Ph: (703) 662-3659 |
| NPI Number | 1548017551 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548017551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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