| Nova Emdr Pllc | |
|
12644 Chapel Road #283 Clifton VA 20124 | |
| (571) 481-7142 | |
| (571) 307-2823 |
| Full Name | Nova Emdr Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12644 Chapel Road #283, Clifton, Virginia |
| Authorized Official Name and Position | Jaime Lee Parker (FOUNDER & EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5714817142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Emdr Pllc 12644 Chapel Road #283 Clifton VA 20124 Ph: (571) 481-7142 | Nova Emdr Pllc 12644 Chapel Road #283 Clifton VA 20124 Ph: (571) 481-7142 |
| NPI Number | 1518762749 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518762749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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