Healthcare Provider Details

I. General information

NPI: 1487350757
Provider Name (Legal Business Name): REINTJES COUNSELING & CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 N UNION ST STE 100
ALEXANDRIA VA
22314-2643
US

IV. Provider business mailing address

211 N UNION ST STE 100
ALEXANDRIA VA
22314-2643
US

V. Phone/Fax

Practice location:
  • Phone: 703-718-6732
  • Fax:
Mailing address:
  • Phone: 703-718-6732
  • 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: MONICA REINTJES
Title or Position: OWNER
Credential: LPC
Phone: 703-718-6732