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General NPI Number Information
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NPI Number | 1629955695
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Entity Type | Organization
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Legal Business Name | GALAXY BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 8990 ACADEMIC LOOP APT 204
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City | MANASSAS
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State | VA
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Zip | 20109-4013
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Country | US
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Telephone | 571-279-8264
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Fax | 571-376-6540
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Provider Business Mailing Address
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Address Line | 10432 BALLS FORD RD STE 300
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City | MANASSAS
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State | VA
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Zip | 20109-2517
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Country | US
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Telephone | 571-279-8264
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Fax | 571-376-6540
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Authorized Official
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Title or Position | OWNER
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Name | ANANSA THOMPSON
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Credential | PMHNP-BC
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Telephone | 571-358-8771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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