Healthcare Provider Details

I. General information

NPI: 1043190325
Provider Name (Legal Business Name): PARENT AND CHILD TREATMENT CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1737 KING ST STE 330
ALEXANDRIA VA
22314-2760
US

IV. Provider business mailing address

1737 KING ST STE 330
ALEXANDRIA VA
22314-2760
US

V. Phone/Fax

Practice location:
  • Phone: 703-662-5212
  • Fax:
Mailing address:
  • Phone: 703-662-5212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MEREDITH WILMER
Title or Position: DIRECTOR
Credential: PHD
Phone: 703-662-5212