| Cloud Break Therapy, Llc | |
|
101 S Whiting St Ste 318 Alexandria VA 22304-3416 | |
| (703) 855-4330 | |
| Not Available |
| Full Name | Cloud Break Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 101 S Whiting St Ste 318, Alexandria, Virginia |
| Authorized Official Name and Position | Brooke Buck (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 7038554330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cloud Break Therapy, Llc 101 S Whiting St Ste 318 Alexandria VA 22304-3416 Ph: (703) 855-4330 | Cloud Break Therapy, Llc 101 S Whiting St Ste 318 Alexandria VA 22304-3416 Ph: (703) 855-4330 |
| NPI Number | 1013574177 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 05/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013574177 | NPI | - | NPPES |
| 1710448725 | Other | VA | NPPES NPI NUMBER |
| 1295073161 | Other | VA | NPPES NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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