Group Therapy Associates | |
15175 Washington St Suite 302a Haymarket VA 20169-2951 | |
(703) 644-8041 | |
(703) 644-8041 |
Full Name | Group Therapy Associates |
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Speciality | Marriage & Family Therapist |
Location | 15175 Washington St, Haymarket, Virginia |
Authorized Official Name and Position | Esther Boykin (LMFT/CO-OWNER) |
Authorized Official Contact | 5712350714 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Group Therapy Associates Po Box 127 Haymarket VA 20168-0127 Ph: (703) 644-8041 | Group Therapy Associates 15175 Washington St Suite 302a Haymarket VA 20169-2951 Ph: (703) 644-8041 |
NPI Number | 1215163506 |
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Provider Enumeration Date | 06/01/2009 |
Last Update Date | 04/09/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215163506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1104938612 (Virginia) | Secondary |
106H00000X | Marriage & Family Therapist | 0717001145 (Virginia) | Primary |
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