| Paradigm Shift Llc | |
|
44031 Pipeline Plz Ste 301 Ashburn VA 20147-5888 | |
| (703) 789-7179 | |
| Not Available |
| Full Name | Paradigm Shift Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 44031 Pipeline Plz Ste 301, Ashburn, Virginia |
| Authorized Official Name and Position | Lakshmi Menon (OWNER) |
| Authorized Official Contact | 7037895609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradigm Shift Llc 41844 Rawnsley Dr Ashburn VA 20148-8040 Ph: (703) 789-5609 | Paradigm Shift Llc 44031 Pipeline Plz Ste 301 Ashburn VA 20147-5888 Ph: (703) 789-7179 |
| NPI Number | 1558067496 |
|---|---|
| Provider Enumeration Date | 02/02/2023 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558067496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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