| Mayhem And Tranquility, Llc | |
|
20880 Isherwood Ter Apt 202 Ashburn VA 20147-7792 | |
| (571) 390-3181 | |
| Not Available |
| Full Name | Mayhem And Tranquility, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20880 Isherwood Ter Apt 202, Ashburn, Virginia |
| Authorized Official Name and Position | Charlie Vee Williams (OWNER, FOUNDER) |
| Authorized Official Contact | 4357604139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayhem And Tranquility, Llc 20880 Isherwood Ter Apt 202 Ashburn VA 20147-7792 Ph: (571) 390-3181 | Mayhem And Tranquility, Llc 20880 Isherwood Ter Apt 202 Ashburn VA 20147-7792 Ph: (571) 390-3181 |
| NPI Number | 1316750698 |
|---|---|
| Provider Enumeration Date | 01/30/2025 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316750698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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