| Polaris Counseling Center, Llc | |
|
5274 Lyngate Ct Burke VA 22015-1688 | |
| (703) 539-5914 | |
| Not Available |
| Full Name | Polaris Counseling Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5274 Lyngate Ct, Burke, Virginia |
| Authorized Official Name and Position | Dawn Weiss Smith (OWNER) |
| Authorized Official Contact | 7035395914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polaris Counseling Center, Llc 10705 Paynes Church Dr Fairfax VA 22032-2940 Ph: () - | Polaris Counseling Center, Llc 5274 Lyngate Ct Burke VA 22015-1688 Ph: (703) 539-5914 |
| NPI Number | 1639932577 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639932577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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