| Lbx Therapy Center Llc | |
|
3102 Golansky Blvd Ste 202 Woodbridge VA 22192-4244 | |
| (703) 596-3978 | |
| Not Available |
| Full Name | Lbx Therapy Center Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3102 Golansky Blvd Ste 202, Woodbridge, Virginia |
| Authorized Official Name and Position | Lisa Bradford Xantus (OWNER) |
| Authorized Official Contact | 7035963978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lbx Therapy Center Llc 3102 Golansky Blvd Ste 202 Woodbridge VA 22192-4244 Ph: () - | Lbx Therapy Center Llc 3102 Golansky Blvd Ste 202 Woodbridge VA 22192-4244 Ph: (703) 596-3978 |
| NPI Number | 1043811334 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 11/04/2020 |
| Certification Date | 11/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043811334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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