| Tracee Lyn Persiko, | |
|
4250 Fairfax Dr Ste 600, Arlington, VA 22203-1665 | |
| (703) 862-8687 | |
| (703) 862-8687 |
| Full Name | Tracee Lyn Persiko |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 4250 Fairfax Dr Ste 600, Arlington, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457153512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Entity Name | Privia Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracee Lyn Persiko, 4825 24th St N, Arlington, VA 22207-2609 Ph: (703) 862-8687 | Tracee Lyn Persiko, 4250 Fairfax Dr Ste 600, Arlington, VA 22203-1665 Ph: (703) 862-8687 |
Mrs. Courteney Strickland Vii, COURTENEY Counselor Medicare: Not Enrolled in Medicare Practice Location: 4600 Fairfax Dr Ste 412, Arlington, VA 22203 Phone: 407-758-5710 |
Rachel Lamar, LPC Counselor Medicare: Medicare Enrolled Practice Location: 200 N Glebe Rd Ste 104, Arlington, VA 22203 Phone: 703-841-0703 Fax: 703-841-0703 |
Ashley Stern, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4910 31st St S Ste A, Arlington, VA 22206 Phone: 434-202-4080 |
Naomi Yohannes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4910 31st St S Ste A, Arlington, VA 22206 Phone: 434-202-4080 |
Keenan Deene Twohig, MA, NCC, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 200 N Glebe Rd Ste 104, Arlington, VA 22203 Phone: 703-841-0703 |
Megan Sharkey, LPC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 1560 Wilson Blvd Ste 1100, Arlington, VA 22209 Phone: 571-977-6870 Fax: 703-841-1315 |
Cecilia J.s. Thurman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2120 Washington Blvd Fl 3, Arlington, VA 22204 Phone: 703-228-4897 |