Healthcare Provider Details

I. General information

NPI: 1770491847
Provider Name (Legal Business Name): HELEN BERHE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7475 ADAMS PARK CT
ANNANDALE VA
22003-5724
US

IV. Provider business mailing address

7475 ADAMS PARK CT
ANNANDALE VA
22003-5724
US

V. Phone/Fax

Practice location:
  • Phone: 571-666-2122
  • Fax:
Mailing address:
  • Phone: 571-666-2122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number0230040757
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: