| Practical Therapeutic Solutions, Pllc | |
|
10372 Democracy Ln Fairfax VA 22030-2522 | |
| (703) 591-2551 | |
| Not Available |
| Full Name | Practical Therapeutic Solutions, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10372 Democracy Ln, Fairfax, Virginia |
| Authorized Official Name and Position | Johnny S Powell (MEMBER) |
| Authorized Official Contact | 7038015527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Practical Therapeutic Solutions, Pllc 10372 Democracy Ln Fairfax VA 22030-2522 Ph: (703) 591-2551 | Practical Therapeutic Solutions, Pllc 10372 Democracy Ln Fairfax VA 22030-2522 Ph: (703) 591-2551 |
| NPI Number | 1629328083 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 01/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629328083 | NPI | - | NPPES |
| 09044007483 | Other | VA | MENTALHEALTH/COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904007483 (Virginia) | Primary |
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