Healthcare Provider Details

I. General information

NPI: 1053250704
Provider Name (Legal Business Name): ADAM HIRSCH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LITTLE FALLS ST STE 306
FALLS CHURCH VA
22046-4302
US

IV. Provider business mailing address

200 LITTLE FALLS ST STE 306
FALLS CHURCH VA
22046-4302
US

V. Phone/Fax

Practice location:
  • Phone: 703-231-7991
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number15964
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: