| South Lakes Counseling, Llc | |
|
2229 Double Eagle Ct Reston VA 20191-2401 | |
| (703) 200-9300 | |
| Not Available |
| Full Name | South Lakes Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2229 Double Eagle Ct, Reston, Virginia |
| Authorized Official Name and Position | Reanna Noor (OWNER) |
| Authorized Official Contact | 7032009300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Lakes Counseling, Llc 2229 Double Eagle Ct Reston VA 20191-2401 Ph: () - | South Lakes Counseling, Llc 2229 Double Eagle Ct Reston VA 20191-2401 Ph: (703) 200-9300 |
| NPI Number | 1114608502 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114608502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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