| Phoenix Family Counseling & Play Therapy Center, Pllc | |
|
7404 Gallerher Rd Suite 100 Gainesville VA 20155 | |
| (703) 909-8963 | |
| (703) 753-5193 |
| Full Name | Phoenix Family Counseling & Play Therapy Center, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7404 Gallerher Rd, Gainesville, Virginia |
| Authorized Official Name and Position | Mary Catherine Spooner (DIRECTOR) |
| Authorized Official Contact | 7039098963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Family Counseling & Play Therapy Center, Pllc 4350 Snow Hill Dr. Gainesville VA 20155 Ph: (703) 909-8963 | Phoenix Family Counseling & Play Therapy Center, Pllc 7404 Gallerher Rd Suite 100 Gainesville VA 20155 Ph: (703) 909-8963 |
| NPI Number | 1831264738 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831264738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904003525 (Virginia) | Primary |
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