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General NPI Number Information
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NPI Number | 1750218376
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Entity Type | Organization
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Legal Business Name | MCLEAN PSYCHIATRY & WELLNESS LLC
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 1319 CASSIA ST
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City | HERNDON
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State | VA
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Zip | 20170-2524
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Country | US
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Telephone | 571-568-9849
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Fax | 571-486-5547
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Provider Business Mailing Address
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Address Line | 1319 CASSIA ST
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City | HERNDON
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State | VA
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Zip | 20170-2524
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Country | US
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Telephone | 571-568-9849
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Fax | 571-486-5547
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Authorized Official
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Title or Position | OWNER
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Name | ASHLY MCLEAN
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Credential | PMHNP
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Telephone | 571-568-9849
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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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