MS. SANDRA ELIZABETH ANN MCINTOSH


Address: 14801 Rydell Rd Apt 103, Centreville, VA 20121-4471
Phone: 7038159057

MS. SANDRA ELIZABETH ANN MCINTOSH (NPI# 1174537393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174537393
Entity Type Individual
Full Name MS. SANDRA ELIZABETH ANN MCINTOSH
Credential LPC/RPTS/LMFT
Practice Address 14801 Rydell Rd Apt 103
Centreville
VA 20121-4471
Mailing Address Po Box 1568
Centreville
VA 20122-8568
Practice Telephone 7038159057
Practice Fax Number 7038159057
Mailing Telephone 7039437481
Mailing Fax Number 7038159057
Enumeration Date 2006-07-27
Last Update Date 2020-06-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0701003105 VA Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 0717001317 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 010214793 05

Office Location

Street Address 14801 RYDELL RD APT 103
City CENTREVILLE
State VA
Zip Code 20121-4471

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1265829808 Trisha Yamamoto Chiropractor 14215 E. Centreville Square, Centreville, VA 20121 2015-04-21
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1447519483 James Hamilton Occupational Therapy Assistant 6220 William Mosby Dr, Centreville, VA 20121 2012-05-11
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821632431 Jinse Kim Counselor 14631 Lee Hwy Ste 313, Centreville, VA 20121-5834 2019-11-06
1023675477 Happy Healthy Healing Pllc Counselor 5675 Stone Rd., Suite 310, Centreville, VA 20120 2019-05-21
1013244151 George Reginald Polk Counselor 5675 Stone Rd Ste 300, Centreville, VA 20120-1667 2009-11-11
1811142946 Paula Therese Berchiatti Counselor 677a E. Main Street, Centreville, MI 49032 2008-11-17
1932398815 Heather Nicole Decastro Counselor 377a East Main, Centreville, MI 49032 2007-10-17
1457562605 Esther W. Green Counselor 14151 Lotus Ln Apt 12310, Centreville, VA 20120-6378 2007-05-26
1881759801 Zeena Ellen Zeidberg Counselor 5675 Stone Road, Suite 210, Centreville, VA 20120-1667 2006-12-27
1396764130 Richard A. Betts Counselor 14369 Stonewater Ct, Centreville, VA 20121-5731 2006-07-19
1467922708 Laura Anne Lengyel Counselor 5900 Bond Ave, Centreville, IL 62207-2326 2018-11-29
1336660067 Jasmine Appleton Counselor 13890 Braddock Rd Ste 312, Centreville, VA 20121 2017-07-03
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Competitor

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City CENTREVILLE
Zip Code 20121

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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