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).
| 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 |
| 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 |
| Street Address |
11524 HEMINGWAY DR |
| City | RESTON |
| State | VA |
| Zip Code | 20194-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740174 | Golnaz Rezvani | Pharmacist | 1450 North Point Village Center, Reston, VA 20194 | 2020-11-06 |
| 1053615328 | Joshua Metz | Social Worker | 1108 Round Pebble Ln, Reston, VA 20194-1002 | 2010-12-30 |
| 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 |
| Find all providers in zip 20194 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| 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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| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.