| Supportive Care Aba Va Llc | |
|
1765 Greensboro Station Pl Mc Lean VA 22102-3467 | |
| (317) 936-1240 | |
| (317) 936-1241 |
| Full Name | Supportive Care Aba Va Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1765 Greensboro Station Pl, Mc Lean, Virginia |
| Authorized Official Name and Position | Ruben Kesherim (MEMBER) |
| Authorized Official Contact | 3179361240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care Aba Va Llc 1765 Greensboro Station Pl Mc Lean VA 22102-3467 Ph: (317) 936-1240 | Supportive Care Aba Va Llc 1765 Greensboro Station Pl Mc Lean VA 22102-3467 Ph: (317) 936-1240 |
| NPI Number | 1053034231 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053034231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Risa E. Sanders, Ph.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 Vincent Pl, Mc Lean, VA 22101 Phone: 703-919-1959 | |
Sport Psychs Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8401 Greensboro Dr Ste 550, Mc Lean, VA 22102 Phone: 703-679-8249 | |
Monte Nido Tysons Corner Day Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8180 Greensboro Dr Ste 375, Mc Lean, VA 22102 Phone: 571-569-4929 Fax: 571-762-0865 | |
Tysons Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8200 Greensboro Dr, Suite 120, Mc Lean, VA 22102 Phone: 703-782-4588 Fax: 703-782-4591 | |
Mclean Psychiatric Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6832 Old Dominion Dr Ste 200, Mc Lean, VA 22101 Phone: 703-336-2406 | |
Kimberly M. Brooks Lpc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6723 Whittier Ave Ste 206, Mc Lean, VA 22101 Phone: 571-481-1712 |