| Lifestance Health Services Llc | |
|
7918 Jones Branch Dr Fl 4 Mc Lean VA 22102-3319 | |
| (888) 581-5528 | |
| (220) 204-2199 |
| Full Name | Lifestance Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7918 Jones Branch Dr Fl 4, Mc Lean, Virginia |
| Authorized Official Name and Position | Stephen Wabai (CFO) |
| Authorized Official Contact | 8885815528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health Services Llc 7918 Jones Branch Dr Fl 4 Mc Lean VA 22102-3319 Ph: (888) 581-5528 | Lifestance Health Services Llc 7918 Jones Branch Dr Fl 4 Mc Lean VA 22102-3319 Ph: (888) 581-5528 |
| NPI Number | 1548072325 |
|---|---|
| Provider Enumeration Date | 01/21/2025 |
| Last Update Date | 03/11/2025 |
| Certification Date | 03/11/2025 |
| Medicare PECOS PAC ID | 2365965720 |
|---|---|
| Medicare Enrollment ID | O20250327000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548072325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Wanda C Caesar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316288699 PECOS PAC ID: 7517104318 Enrollment ID: I20130515000556 |
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