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General NPI Number Information
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NPI Number | 1144056045
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Entity Type | Organization
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Legal Business Name | VIRGINIA CENTER FOR PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 20130 LAKEVIEW CENTER PLZ STE 400
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City | ASHBURN
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State | VA
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Zip | 20147-5905
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Country | US
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Telephone | 703-202-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 20130 LAKEVIEW CENTER PLZ STE 400
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City | ASHBURN
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State | VA
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Zip | 20147-5905
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | WASEEM HUSSAIN
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Credential |
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Telephone | 703-202-1050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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