Healthcare Provider Details

I. General information

NPI: 1689594608
Provider Name (Legal Business Name): TWINBROOK THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 S COLUMBUS ST STE 200
ALEXANDRIA VA
22314-3079
US

IV. Provider business mailing address

108 S COLUMBUS ST STE 200
ALEXANDRIA VA
22314-3079
US

V. Phone/Fax

Practice location:
  • Phone: 703-831-1126
  • Fax:
Mailing address:
  • Phone: 703-831-1126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW M BROOKS
Title or Position: THERAPIST/OWNER
Credential: LPC
Phone: 703-831-1126