| Clementine Twin Lakes, Llc | |
|
8180 Greensboro Dr Ste 375 Mc Lean VA 22102-3888 | |
| (571) 569-4929 | |
| (571) 762-0865 |
| Full Name | Clementine Twin Lakes, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8180 Greensboro Dr Ste 375, Mc Lean, Virginia |
| Authorized Official Name and Position | Edward Moody (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3056631876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clementine Twin Lakes, Llc 6100 Sw 76th St South Miami FL 33143-5002 Ph: (305) 663-1876 | Clementine Twin Lakes, Llc 8180 Greensboro Dr Ste 375 Mc Lean VA 22102-3888 Ph: (571) 569-4929 |
| NPI Number | 1033970603 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033970603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Risa E. Sanders, Ph.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 Vincent Pl, Mc Lean, VA 22101 Phone: 703-919-1959 | |
Tysons Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8200 Greensboro Dr, Suite 120, Mc Lean, VA 22102 Phone: 703-782-4588 Fax: 703-782-4591 | |
Supportive Care Aba Va Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1765 Greensboro Station Pl, Mc Lean, VA 22102 Phone: 317-936-1240 Fax: 317-936-1241 | |
Mclean Psychiatric Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6832 Old Dominion Dr Ste 200, Mc Lean, VA 22101 Phone: 703-336-2406 | |
Kimberly M. Brooks Lpc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6723 Whittier Ave Ste 206, Mc Lean, VA 22101 Phone: 571-481-1712 | |
Center For Pastoral Counseling Of Virginia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1716 Chain Bridge Rd, Mc Lean, VA 22101 Phone: 703-903-9696 |