Healthcare Provider Details

I. General information

NPI: 1477342178
Provider Name (Legal Business Name): ALANNA BETTS ART AND ART THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1768 BUSINESS CENTER DR STE 360
RESTON VA
20190-5358
US

IV. Provider business mailing address

1768 BUSINESS CENTER DR STE 360
RESTON VA
20190-5358
US

V. Phone/Fax

Practice location:
  • Phone: 571-449-7012
  • Fax:
Mailing address:
  • Phone: 571-449-7012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALANNA BETTS
Title or Position: PRESIDENT
Credential: MA, LPC, ATR, PMH-C
Phone: 571-449-7012