| Grace Out Loud Therapy Services, Llc | |
|
2150 Silversmith Ct Woodbridge VA 22191-4123 | |
| (571) 412-1006 | |
| Not Available |
| Full Name | Grace Out Loud Therapy Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2150 Silversmith Ct, Woodbridge, Virginia |
| Authorized Official Name and Position | Ana-alicia Farrar Brown (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3369267476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Out Loud Therapy Services, Llc 2150 Silversmith Ct Woodbridge VA 22191-4123 Ph: (571) 412-1006 | Grace Out Loud Therapy Services, Llc 2150 Silversmith Ct Woodbridge VA 22191-4123 Ph: (571) 412-1006 |
| NPI Number | 1417658295 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 03/17/2023 |
| Certification Date | 03/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417658295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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