| Ncitewithn, Llc | |
|
10195 Main St Ste N Fairfax VA 22031-3415 | |
| (703) 909-1072 | |
| (703) 690-0674 |
| Full Name | Ncitewithn, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10195 Main St Ste N, Fairfax, Virginia |
| Authorized Official Name and Position | Felicea C. Meyer-deloatch (CLINICAL THERAPIST) |
| Authorized Official Contact | 7039091072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ncitewithn, Llc 8749 Flowering Dogwood Ln Lorton VA 22079-5603 Ph: (703) 909-1072 | Ncitewithn, Llc 10195 Main St Ste N Fairfax VA 22031-3415 Ph: (703) 909-1072 |
| NPI Number | 1962832741 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 11/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962832741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904008028 (Virginia) | Primary |
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