| Best Life Therapeutic Services | |
|
11250 Roger Bacon Dr Ste 15 Reston VA 20190-5202 | |
| (571) 455-5206 | |
| (703) 636-8983 |
| Full Name | Best Life Therapeutic Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11250 Roger Bacon Dr Ste 15, Reston, Virginia |
| Authorized Official Name and Position | Latasha Monique Scott (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5714555206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Best Life Therapeutic Services 12909 Centre Park Cir Apt 408 Herndon VA 20171-5848 Ph: (571) 455-6596 | Best Life Therapeutic Services 11250 Roger Bacon Dr Ste 15 Reston VA 20190-5202 Ph: (571) 455-5206 |
| NPI Number | 1942781968 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 08/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942781968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701005958 (Virginia) | Primary |
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