| Family & Child Therapy Llc | |
|
144 Church St. Nw Ste 205 Vienna VA 22180 | |
| (703) 864-4444 | |
| Not Available |
| Full Name | Family & Child Therapy Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 144 Church St. Nw Ste 205, Vienna, Virginia |
| Authorized Official Name and Position | Amanda Van Emburgh (OWNER) |
| Authorized Official Contact | 7038644444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Child Therapy Llc 144 Church St. Nw Ste 205 Vienna VA 22180 Ph: (703) 864-4444 | Family & Child Therapy Llc 144 Church St. Nw Ste 205 Vienna VA 22180 Ph: (703) 864-4444 |
| NPI Number | 1417552993 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417552993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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