Holisticare Behavioral Health Svs Llc | |
8101 Hinson Farm Rd Ste 214 Alexandria VA 22306-3406 | |
(703) 386-6899 | |
Not Available |
Full Name | Holisticare Behavioral Health Svs Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 8101 Hinson Farm Rd Ste 214, Alexandria, Virginia |
Authorized Official Name and Position | Gagandeep Khurana (OWNER) |
Authorized Official Contact | 7033866899 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Holisticare Behavioral Health Svs Llc 8101 Hinson Farm Rd Ste 214 Alexandria VA 22306-3406 Ph: (703) 360-6910 | Holisticare Behavioral Health Svs Llc 8101 Hinson Farm Rd Ste 214 Alexandria VA 22306-3406 Ph: (703) 386-6899 |
NPI Number | 1588274435 |
---|---|
Provider Enumeration Date | 08/05/2020 |
Last Update Date | 08/05/2020 |
Certification Date | 08/05/2020 |
Medicare PECOS PAC ID | 8527426519 |
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Medicare Enrollment ID | O20230623000853 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588274435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Gagandeep Khurana |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1104261858 PECOS PAC ID: 7517275233 Enrollment ID: I20150930000836 |
Provider Name | Sana Kamal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811237324 PECOS PAC ID: 6204191315 Enrollment ID: I20220504001413 |
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