| The Collaborative Good, Llc | |
|
133 Park St Ne #3b Vienna VA 22180-4666 | |
| (718) 974-7037 | |
| Not Available |
| Full Name | The Collaborative Good, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 133 Park St Ne, Vienna, Virginia |
| Authorized Official Name and Position | Maria Pilar Pina (LMSW/OWNER) |
| Authorized Official Contact | 7189747037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Collaborative Good, Llc 2308 Mount Vernon Ave #123 Alexandria VA 22301-1328 Ph: (718) 974-7037 | The Collaborative Good, Llc 133 Park St Ne #3b Vienna VA 22180-4666 Ph: (718) 974-7037 |
| NPI Number | 1033668603 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 09/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033668603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0903002363 (Virginia) | Primary |
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