NEUROFEEDBACK THERAPEUTIC SOLUTIONS, LLC (NPI# 1801304753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801304753 |
Entity Type | Organization |
Organization Name | NEUROFEEDBACK THERAPEUTIC SOLUTIONS, LLC |
Practice Address |
10432 Balls Ford Rd Ste 300 Manassas VA 20109-2517 |
Mailing Address |
4196 Merchant Plz # 145 Woodbridge VA 22192-5085 |
Practice Telephone | 5713612885 |
Practice Fax Number | 7034944741 |
Mailing Telephone | 5713612885 |
Mailing Fax Number | 7034944741 |
Enumeration Date | 2018-01-12 |
Last Update Date | 2018-01-12 |
Authorized Official Name | MS. KIMBERLY ANN MILAM (THERAPIST / OWNER) |
Authorized Official Telephone | 5713612885 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
0701006901 | VA | Behavioral Health & Social Service Providers |
Street Address |
10432 BALLS FORD RD STE 300 |
City | MANASSAS |
State | VA |
Zip Code | 20109-2517 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427079 | Faith James Phd Lpc | Counselor | 10432 Balls Ford Rd Ste 300, Manassas, VA 20109-2517 | 2020-11-05 |
1093335846 | Alexis Helen Arnette | Counselor | 10432 Balls Ford Rd Ste 300, Manassas, VA 20109-2517 | 2020-04-22 |
1972149433 | Mezher Health Care LLC | Home Health | 10432 Balls Ford Rd Ste 300, Manassas, VA 20109-2517 | 2019-11-20 |
1821632019 | Michele Mezher | Home Health | 10432 Balls Ford Rd Ste 300, Manassas, VA 20109-2517 | 2019-10-31 |
1225525546 | Craig Felder | Non-emergency Medical Transport (VAN) | 10432 Balls Ford Rd Ste 300, Manassas, VA 20109-2517 | 2018-04-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
Find all providers in zip 20109 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558974410 | Nali Mccartney Adesso | Counselor | 11211 Lady Jane Loop Apt 202, Manassas, VA 20109-7886 | 2020-08-28 |
1093357881 | James Joseph Rubin | Counselor | 9300 Forest Point Cir Ste 172, Manassas, VA 20110-4766 | 2019-10-13 |
1528619137 | Tina Marie Harris | Counselor | 10432 Balls Ford Rd Ste 373, Manassas, VA 20109-2514 | 2019-09-25 |
1699230144 | Reginald A Rigaud | Counselor | 8400 Rosebay Ln Apt 302, Manassas, VA 20109-3817 | 2019-02-08 |
1790201671 | Amy Rae Greenough | Counselor | 9438 Abingdon Ct, Manassas, VA 20109-3313 | 2017-08-22 |
1043760697 | Northern Virginia Christian Counseling | Counselor | 10620 Crestwood Dr, Manassas, VA 20109-4403 | 2016-10-06 |
1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
1801275458 | Teressa Bowman | Counselor | 9242 Mosby St, Manassas, VA 20110-5038 | 2015-05-28 |
1629323100 | Sharnece Ayana Thomas | Counselor | 8140 Ashton Ave Ste 200, Manassas, VA 20109-5701 | 2012-07-19 |
1104121003 | Brooke Utley | Counselor | 9720 Capital Ct, 303, Manassas, VA 20110-2044 | 2011-01-24 |
Find all providers in MANASSAS |
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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.