| Fully Human Pllc | |
|
1550 Wilson Blvd Ste 700 Arlington VA 22209-2490 | |
| (703) 239-4424 | |
| (571) 933-4262 |
| Full Name | Fully Human Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1550 Wilson Blvd Ste 700, Arlington, Virginia |
| Authorized Official Name and Position | Micah Benjamin Samuel Fleitman (OWNER) |
| Authorized Official Contact | 4343281044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fully Human Pllc 107 Vincennes Rd Charlottesville VA 22911-8551 Ph: (703) 239-4424 | Fully Human Pllc 1550 Wilson Blvd Ste 700 Arlington VA 22209-2490 Ph: (703) 239-4424 |
| NPI Number | 1164293403 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164293403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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