Therapeutic Alliance Llc | |
7771 Ashton Ave Manassas VA 20109-2879 | |
(703) 492-2686 | |
(866) 499-8840 |
Full Name | Therapeutic Alliance Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 7771 Ashton Ave, Manassas, Virginia |
Authorized Official Name and Position | Alkesh Patel (CEO) |
Authorized Official Contact | 7034922686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Therapeutic Alliance Llc Po Box 71807 Henrico VA 23255-1807 Ph: (877) 794-2284 | Therapeutic Alliance Llc 7771 Ashton Ave Manassas VA 20109-2879 Ph: (703) 492-2686 |
NPI Number | 1497185680 |
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Provider Enumeration Date | 11/25/2013 |
Last Update Date | 05/07/2020 |
Certification Date | 05/07/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497185680 | NPI | - | NPPES |
154005001 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 0701004701 (Virginia) | Primary |
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