Mantra Mental Health Pllc | |
3925 Blenheim Blvd Ste 52a Fairfax VA 22030-2426 | |
(571) 368-6654 | |
(571) 368-6655 |
Full Name | Mantra Mental Health Pllc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 3925 Blenheim Blvd Ste 52a, Fairfax, Virginia |
Authorized Official Name and Position | Sonal Jagasia (OWNER) |
Authorized Official Contact | 3177304617 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mantra Mental Health Pllc 3007 Barkley Gate Ln Fairfax VA 22031-1462 Ph: (479) 283-3785 | Mantra Mental Health Pllc 3925 Blenheim Blvd Ste 52a Fairfax VA 22030-2426 Ph: (571) 368-6654 |
NPI Number | 1285474163 |
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Provider Enumeration Date | 05/29/2024 |
Last Update Date | 05/29/2024 |
Certification Date | 05/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285474163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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