| Ward Group, Llc | |
|
8440 Old Keene Mill Rd Springfield VA 22152-2302 | |
| (910) 977-3712 | |
| (703) 997-4872 |
| Full Name | Ward Group, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8440 Old Keene Mill Rd, Springfield, Virginia |
| Authorized Official Name and Position | Lori Ward (SOLE MEMBER) |
| Authorized Official Contact | 9109773712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ward Group, Llc 4801 Kenmore Ave Apt 1112 Alexandria VA 22304-1118 Ph: (910) 977-3712 | Ward Group, Llc 8440 Old Keene Mill Rd Springfield VA 22152-2302 Ph: (910) 977-3712 |
| NPI Number | 1235640087 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 10/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235640087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701007216 (Virginia) | Primary |
| 101YP2500X | Counselor - Professional | 8734 (North Carolina) | Secondary |
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