| Waves Of Courage Counseling Llc | |
|
13132 Melville Ln Fairfax VA 22033-3701 | |
| (877) 928-3704 | |
| Not Available |
| Full Name | Waves Of Courage Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13132 Melville Ln, Fairfax, Virginia |
| Authorized Official Name and Position | Samantha Theresa Getha (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5712068383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waves Of Courage Counseling Llc 9480 Main St # 1060 Fairfax VA 22031-4032 Ph: (571) 206-8383 | Waves Of Courage Counseling Llc 13132 Melville Ln Fairfax VA 22033-3701 Ph: (877) 928-3704 |
| NPI Number | 1376161513 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376161513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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