| Grace Nova Counseling | |
|
8227 Old Courthouse Rd Ste 215 Vienna VA 22182-3815 | |
| (571) 230-3019 | |
| Not Available |
| Full Name | Grace Nova Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8227 Old Courthouse Rd Ste 215, Vienna, Virginia |
| Authorized Official Name and Position | Kelly Lutrell Stephenson (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5712303019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Nova Counseling 8227 Old Courthouse Rd Ste 215 Vienna VA 22182-3815 Ph: (571) 230-3019 | Grace Nova Counseling 8227 Old Courthouse Rd Ste 215 Vienna VA 22182-3815 Ph: (571) 230-3019 |
| NPI Number | 1649838285 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649838285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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