| Infinite Wellness, Llc | |
|
13410 Trey Ln Clifton VA 20124-0923 | |
| (571) 295-4464 | |
| Not Available |
| Full Name | Infinite Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13410 Trey Ln, Clifton, Virginia |
| Authorized Official Name and Position | Kiersten Farrell (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5712954464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Wellness, Llc 13410 Trey Ln Clifton VA 20124-0923 Ph: (571) 295-4464 | Infinite Wellness, Llc 13410 Trey Ln Clifton VA 20124-0923 Ph: (571) 295-4464 |
| NPI Number | 1285413591 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285413591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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