Grace Psychiatry, Pllc | |
8200 Greensboro Dr Ste 900 Mc Lean VA 22102-4931 | |
(703) 665-9613 | |
Not Available |
Full Name | Grace Psychiatry, Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 8200 Greensboro Dr Ste 900, Mc Lean, Virginia |
Authorized Official Name and Position | Natasha Olliver (PHYSICIAN ASSISTANT) |
Authorized Official Contact | 5052056397 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grace Psychiatry, Pllc 8200 Greensboro Dr Ste 900 Mc Lean VA 22102-4931 Ph: (703) 665-9613 | Grace Psychiatry, Pllc 8200 Greensboro Dr Ste 900 Mc Lean VA 22102-4931 Ph: (703) 665-9613 |
NPI Number | 1871291518 |
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Provider Enumeration Date | 02/22/2023 |
Last Update Date | 02/22/2023 |
Certification Date | 02/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871291518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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