| Mindspace Integrated Care Llc | |
|
5290 Shawnee Rd Alexandria VA 22312-2381 | |
| (571) 265-5969 | |
| Not Available |
| Full Name | Mindspace Integrated Care Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5290 Shawnee Rd, Alexandria, Virginia |
| Authorized Official Name and Position | Fatmata Sorie Kamara (PMHNP) |
| Authorized Official Contact | 5712655969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindspace Integrated Care Llc 4203 Vernoy Hills Cmn Fairfax VA 22033-4399 Ph: (571) 265-5969 | Mindspace Integrated Care Llc 5290 Shawnee Rd Alexandria VA 22312-2381 Ph: (571) 265-5969 |
| NPI Number | 1316865355 |
|---|---|
| Provider Enumeration Date | 07/07/2026 |
| Last Update Date | 07/07/2026 |
| Certification Date | 07/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316865355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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