Loudoun Psychiatry Group Llc | |
22611 Markey Ct Ste 114 Sterling VA 20166-6925 | |
(703) 249-4828 | |
Not Available |
Full Name | Loudoun Psychiatry Group Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 22611 Markey Ct Ste 114, Sterling, Virginia |
Authorized Official Name and Position | Mark Parker (OWNER) |
Authorized Official Contact | 7032494828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Loudoun Psychiatry Group Llc 22611 Markey Ct Ste 114 Sterling VA 20166-6925 Ph: () - | Loudoun Psychiatry Group Llc 22611 Markey Ct Ste 114 Sterling VA 20166-6925 Ph: (703) 249-4828 |
NPI Number | 1740974914 |
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Provider Enumeration Date | 06/08/2023 |
Last Update Date | 06/08/2023 |
Certification Date | 06/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740974914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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