| Paradox Mental Health | |
|
12872 Harbor Dr Woodbridge VA 22192-2921 | |
| (571) 946-5512 | |
| (571) 376-6506 |
| Full Name | Paradox Mental Health |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 12872 Harbor Dr, Woodbridge, Virginia |
| Authorized Official Name and Position | Stephanie Davila (OWNER) |
| Authorized Official Contact | 7039329964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradox Mental Health 6857 Jockey Club Ln Haymarket VA 20169-2979 Ph: (703) 932-9964 | Paradox Mental Health 12872 Harbor Dr Woodbridge VA 22192-2921 Ph: (571) 946-5512 |
| NPI Number | 1316712854 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 07/09/2024 |
| Certification Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316712854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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