Healthcare Provider Details

I. General information

NPI: 1679486294
Provider Name (Legal Business Name): HEALING JOURNEY WITH DR CHA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5146 WOODFORD DR
CENTREVILLE VA
20120-1380
US

IV. Provider business mailing address

5146 WOODFORD DR
CENTREVILLE VA
20120-1380
US

V. Phone/Fax

Practice location:
  • Phone: 714-305-9910
  • Fax:
Mailing address:
  • Phone: 714-305-9910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: KEUMHI CHA
Title or Position: PRESIDENT
Credential:
Phone: 714-305-9910