PHYLLIS MILLER PALOMBI MS, LMFT


Address: 11524 Hemingway Dr, Reston, VA 20194-1252
Phone: 7034357686

PHYLLIS MILLER PALOMBI MS, LMFT (NPI# 1255724936) 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) 1255724936
Entity Type Organization
Organization Name PHYLLIS MILLER PALOMBI MS, LMFT
Practice Address 11524 Hemingway Dr
Reston
VA 20194-1252
Practice Telephone 7034357686
Practice Fax Number 7035639181
Mailing Telephone 7034357686
Mailing Fax Number 7035639181
Enumeration Date 2015-03-05
Last Update Date 2015-03-05
Authorized Official Name PHYLLIS MILLER PALOMBI (FAMILY THERAPIST)
Authorized Official Telephone 7034357686
Authorized Official Credential M.S.,LPC, LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
0701001061 VA Ambulatory Health Care Facilities
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
PRC13615 DC Ambulatory Health Care Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
0717000212 VA Ambulatory Health Care Facilities

Office Location

Street Address 11524 HEMINGWAY DR
City RESTON
State VA
Zip Code 20194-1252

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1336740174 Golnaz Rezvani Pharmacist 1450 North Point Village Center, Reston, VA 20194 2020-11-06
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1992949887 Katherine Margaret M. Wendell Registered Nurse 11609 Deer Forest Rd, Reston, VA 20194-1104 2009-04-23
1922582790 Pamela Anne Marie Williams Nurse's Aide 11731 Summerchase Cir Apt D, Reston, VA 20194-1141 2018-09-18
1760773303 Maureen Patricia Wait Occupational Therapist 11706 Great Owl Cir, Reston, VA 20194-1175 2011-05-01
1114934650 Mark E Franke Emergency Medicine 1488 Northpoint Village Ctr, Reston, VA 20194-1190 2006-08-01
1912930264 Giant of Maryland LLC Pharmacy 1450 Northpoint Village Ctr, Reston, VA 20194-1190 2006-07-09
1972104669 Ruth Gebremicael Pharmacist 1450 Northpoint Village Ctr, Reston, VA 20194-1190 2020-11-08
1922609825 Tamara Cohen Pharmacist 1450 Northpoint Village Ctr, Reston, VA 20194-1190 2020-11-06
1558923060 Pranee Chanthavongsa Smarsh Nurse Practitioner 1488 Northpoint Village Ctr, Reston, VA 20194-1190 2019-07-03
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1477150068 Premier Mental Health Support Clinic/Center 490 Piney Forest Rd, Danville, VA 24540-4060 2020-10-06
1720609837 Healthy Mind Pllc Clinic/Center 6551 Continental St, Williamsburg, VA 23188-7586 2020-04-29
1225661978 Cavcity Counseling Inc. Clinic/Center 1020 Carrington Pl Fl 2, Charlottesville, VA 22901-1891 2020-02-20
1942855622 Destine for Greatness, LLC Clinic/Center 1035 Bryce Ln, Virginia Beach, VA 23464-4500 2019-08-08
1407400203 360 Counseling & Services Clinic/Center 5509 Townsbury Terrrace, Chesterfield, VA 23832-9256 2019-07-30
1710449327 Kemet Health One LLC Clinic/Center 5413 Backlick Rd Ste A, Springfield, VA 22151-3915 2019-04-02
1134680796 Your Path Counseling Center LLC Clinic/Center 104 N Railroad Ave Ste A, Ashland, VA 23005-1528 2019-03-27
1245797083 Reboot LLC Clinic/Center 7006 Old Reflection Dr, Mechanicsville, VA 23111-4284 2019-02-28
1679040976 Hidden Roots Mental Health LLC Clinic/Center 205 E Broadway Ste 200, Hopewell, VA 23860-2809 2018-10-25
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Competitor

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City RESTON
Zip Code 20194

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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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