Healthcare Provider Details

I. General information

NPI: 1366330128
Provider Name (Legal Business Name): SUNFLOWER HAVEN WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2025
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1737 KING ST STE 330
ALEXANDRIA VA
22314-2760
US

IV. Provider business mailing address

8401 MAYLAND DR STE P
RICHMOND VA
23294-4648
US

V. Phone/Fax

Practice location:
  • Phone: 703-520-9710
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ALANISHA ALLEN
Title or Position: FOUNDER/THERAPIST
Credential: LPC, NCC
Phone: 703-520-9710