| Kmhardymindfulness.life, Llc | |
|
1800 Diagonal Rd Ste 600 Alexandria VA 22314-2840 | |
| (571) 992-0079 | |
| Not Available |
| Full Name | Kmhardymindfulness.life, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1800 Diagonal Rd Ste 600, Alexandria, Virginia |
| Authorized Official Name and Position | Kimberley Michelle Hardy (SINGLE MEMBER OWNER) |
| Authorized Official Contact | 4404447140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kmhardymindfulness.life, Llc 1800 Diagonal Rd Ste 600 Alexandria VA 22314-2840 Ph: () - | Kmhardymindfulness.life, Llc 1800 Diagonal Rd Ste 600 Alexandria VA 22314-2840 Ph: (571) 992-0079 |
| NPI Number | 1003504846 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003504846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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