Healthcare Provider Details

I. General information

NPI: 1457942989
Provider Name (Legal Business Name): ACURE WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2021
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10560 MAIN ST STE 320
FAIRFAX VA
22030-7175
US

IV. Provider business mailing address

24558 TRIBE SQ APT 101
DULLES VA
20166-2650
US

V. Phone/Fax

Practice location:
  • Phone: 331-229-7562
  • Fax: 800-963-5633
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISENIA M WHITE
Title or Position: OWNER/PHYSICIAN
Credential: ND,DC, L.AC, LDN
Phone: 331-229-7562