Healthcare Provider Details

I. General information

NPI: 1023921558
Provider Name (Legal Business Name): VIRGINIA HOPE BEHAVIORAL HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4306 EVERGREEN LANE SUITE 103
ANNANDALE VA
22003
US

IV. Provider business mailing address

5510 CHEROKEE AVE STE 300
ALEXANDRIA VA
22312-2320
US

V. Phone/Fax

Practice location:
  • Phone: 571-365-1833
  • Fax:
Mailing address:
  • Phone: 571-365-1833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EMMANUEL NDE
Title or Position: CEO
Credential:
Phone: 571-365-1833