| Keystone Therapy Group, Llc | |
|
10560 Main St Ste 511 Fairfax VA 22030-7173 | |
| (703) 390-1182 | |
| Not Available |
| Full Name | Keystone Therapy Group, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10560 Main St Ste 511, Fairfax, Virginia |
| Authorized Official Name and Position | Kimberly Ann Langlais Rippy (LPC & OWNER) |
| Authorized Official Contact | 7033901182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Therapy Group, Llc 10560 Main St Ste 511 Fairfax VA 22030-7173 Ph: (703) 390-1182 | Keystone Therapy Group, Llc 10560 Main St Ste 511 Fairfax VA 22030-7173 Ph: (703) 390-1182 |
| NPI Number | 1588282685 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 07/06/2020 |
| Certification Date | 07/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588282685 | NPI | - | NPPES |
| 1891340188 | Other | VA | NPI1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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