| Restorative Therapeutic Services | |
| 
					12020 Sunrise Valley Dr Ste 100 Reston VA 20191-3429  | |
| (703) 884-7517 | |
| Not Available | 
| Full Name | Restorative Therapeutic Services | 
|---|---|
| Speciality | Counselor | 
| Location | 12020 Sunrise Valley Dr Ste 100, Reston, Virginia | 
| Authorized Official Name and Position | Anthonia Levy (MANAGING DIRECTOR) | 
| Authorized Official Contact | 7038847517 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Restorative Therapeutic Services 12020 Sunrise Valley Dr Ste 100 Reston VA 20191-3429 Ph: (703) 884-7517  | Restorative Therapeutic Services 12020 Sunrise Valley Dr Ste 100 Reston VA 20191-3429 Ph: (703) 884-7517  | 
| NPI Number | 1750714382 | 
|---|---|
| Provider Enumeration Date | 08/19/2013 | 
| Last Update Date | 09/28/2016 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750714382 | NPI | - | NPPES | 
| AK37 | Other | CARE FIRST | |
| 0591041 00 | Medicaid | MD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101Y00000X | Counselor | LC4739 (Maryland) | Primary | 
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