Healthcare Provider Details

I. General information

NPI: 1497628507
Provider Name (Legal Business Name): THERAPY IN PEACE CLINICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 09/25/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 FORBES PL STE 211
SPRINGFIELD VA
22151-2205
US

IV. Provider business mailing address

5510 CHEROKEE AVE STE 200
ALEXANDRIA VA
22312-2370
US

V. Phone/Fax

Practice location:
  • Phone: 860-796-5573
  • Fax: 860-796-5573
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: BRANDIE O'HARA CHANEY
Title or Position: FOUNDER, CLINICAL THERAPIST
Credential: LCSW
Phone: 860-796-5573