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General NPI Number Information
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NPI Number | 1407497951
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Entity Type | Organization
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Legal Business Name | CENTER FOR CLINICAL HEALTH SOLUTIONS
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 8221 WILLOW OAKS CORPORATE DR # VA22031
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City | FAIRFAX
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State | VA
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Zip | 22031-4512
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Country | US
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Telephone | 170-353-8320
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Fax |
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Provider Business Mailing Address
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Address Line | 7777 LEESBURG PIKE STE 307N
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City | FALLS CHURCH
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State | VA
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Zip | 22043-2421
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Country | US
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Telephone | 703-847-0000
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Fax |
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Authorized Official
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Title or Position | CEO AND PROGRAM DIRECTOR
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Name | MEHRNUSH MOHEBI
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Credential | EDD, LMHP, LPC
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Telephone | 703-847-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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