| Pimmit Counseling & Wellness Clinic Pllc | |
|
2235 Cedar Ln Ste 102 Vienna VA 22182-5247 | |
| (703) 556-4888 | |
| Not Available |
| Full Name | Pimmit Counseling & Wellness Clinic Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2235 Cedar Ln Ste 102, Vienna, Virginia |
| Authorized Official Name and Position | Shahrzad N/a Poorshaghaghi (DIRECTOR) |
| Authorized Official Contact | 7035564888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pimmit Counseling & Wellness Clinic Pllc 2235 Cedar Ln Ste 102 Vienna VA 22182-5247 Ph: (703) 556-4888 | Pimmit Counseling & Wellness Clinic Pllc 2235 Cedar Ln Ste 102 Vienna VA 22182-5247 Ph: (703) 556-4888 |
| NPI Number | 1407346695 |
|---|---|
| Provider Enumeration Date | 05/14/2018 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407346695 | NPI | - | NPPES |
| 5411165 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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