| Neurofeedback Therapeutic Solutions, Llc | |
|
7900 Sudley Rd Ste 401 Manassas VA 20109-2806 | |
| (571) 361-2885 | |
| (703) 490-8419 |
| Full Name | Neurofeedback Therapeutic Solutions, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7900 Sudley Rd Ste 401, Manassas, Virginia |
| Authorized Official Name and Position | Kimberly Ann Milam (THERAPIST / OWNER) |
| Authorized Official Contact | 5713612885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurofeedback Therapeutic Solutions, Llc 7900 Sudley Rd Ste 401 Manassas VA 20109-2806 Ph: (571) 361-2885 | Neurofeedback Therapeutic Solutions, Llc 7900 Sudley Rd Ste 401 Manassas VA 20109-2806 Ph: (571) 361-2885 |
| NPI Number | 1801304753 |
|---|---|
| Provider Enumeration Date | 01/12/2018 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801304753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701006901 (Virginia) | Primary |
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