| Imend Therapy Llc | |
|
9020 Lorton Station Blvd Ste 116 Lorton VA 22079-4750 | |
| (571) 470-3266 | |
| Not Available |
| Full Name | Imend Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9020 Lorton Station Blvd Ste 116, Lorton, Virginia |
| Authorized Official Name and Position | Sharon Fernandez (DIRECTOR/PRESIDENT) |
| Authorized Official Contact | 5714703266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imend Therapy Llc 8362 Middle Ruddings Dr Lorton VA 22079-5023 Ph: (703) 568-5647 | Imend Therapy Llc 9020 Lorton Station Blvd Ste 116 Lorton VA 22079-4750 Ph: (571) 470-3266 |
| NPI Number | 1396445615 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396445615 | NPI | - | NPPES |
| 1124756010 | Other | VA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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