| Nova Therapy Lounge, Llc | |
|
13085 Autumn Woods Way Apt 304 Fairfax VA 22033-5167 | |
| (571) 409-1783 | |
| Not Available |
| Full Name | Nova Therapy Lounge, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13085 Autumn Woods Way Apt 304, Fairfax, Virginia |
| Authorized Official Name and Position | Marjolijn Narsis Hiemstra (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5714091783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Therapy Lounge, Llc 13085 Autumn Woods Way Apt 304 Fairfax VA 22033-5167 Ph: (571) 409-1783 | Nova Therapy Lounge, Llc 13085 Autumn Woods Way Apt 304 Fairfax VA 22033-5167 Ph: (571) 409-1783 |
| NPI Number | 1306673611 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306673611 | NPI | - | NPPES |
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