Healthcare Provider Details

I. General information

NPI: 1659275691
Provider Name (Legal Business Name): EMILY SAUNDERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23164 DRAGROON RD
LIGNUM VA
22726
US

IV. Provider business mailing address

23164 DRAGROON RD
LIGNUM VA
22726
US

V. Phone/Fax

Practice location:
  • Phone: 540-399-1926
  • Fax:
Mailing address:
  • Phone: 540-399-1926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number323P00000X
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: