| Prosperity Eating Disorder And Wellness | |
|
1897 Preston White Dr Ste 300 Reston VA 20191-5479 | |
| (703) 466-5150 | |
| (703) 649-3599 |
| Full Name | Prosperity Eating Disorder And Wellness |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1897 Preston White Dr Ste 300, Reston, Virginia |
| Authorized Official Name and Position | Heather Nelson Baker (DIRECTOR) |
| Authorized Official Contact | 7034665150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperity Eating Disorder And Wellness 1031 Sterling Rd Suite 203 Herndon VA 20170-3865 Ph: (703) 466-5150 | Prosperity Eating Disorder And Wellness 1897 Preston White Dr Ste 300 Reston VA 20191-5479 Ph: (703) 466-5150 |
| NPI Number | 1043613474 |
|---|---|
| Provider Enumeration Date | 09/30/2014 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043613474 | NPI | - | NPPES |
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