Abound Counseling, Llc | |
4229 Lafayette Center Dr Ste 1200 Chantilly VA 20151-1265 | |
(571) 340-2402 | |
(571) 291-4141 |
Full Name | Abound Counseling, Llc |
---|---|
Speciality | Community/Behavioral Health |
Location | 4229 Lafayette Center Dr Ste 1200, Chantilly, Virginia |
Authorized Official Name and Position | Wendy A Krupa (OWNER) |
Authorized Official Contact | 5713402402 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Abound Counseling, Llc 40454 Sousa Pl Aldie VA 20105-2392 Ph: (571) 340-2402 | Abound Counseling, Llc 4229 Lafayette Center Dr Ste 1200 Chantilly VA 20151-1265 Ph: (571) 340-2402 |
NPI Number | 1528516200 |
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Provider Enumeration Date | 09/12/2016 |
Last Update Date | 01/29/2024 |
Certification Date | 01/29/2024 |
Medicare PECOS PAC ID | 0143651158 |
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Medicare Enrollment ID | O20200507000567 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528516200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 0904009040 (Virginia) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Provider Name | Wendy A Krupa |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932419405 PECOS PAC ID: 8123459138 Enrollment ID: I20200507000771 |
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