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General NPI Number Information
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NPI Number | 1831063833
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Entity Type | Organization
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Legal Business Name | SOLID GROUND PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1530 WILSON BLVD STE 650
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City | ARLINGTON
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State | VA
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Zip | 22209-2455
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Country | US
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Telephone | 703-520-6446
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 WILSON BLVD SUITE 650 #8
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City | ARLINGTON
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State | VA
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Zip | 22209
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Country | US
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Telephone | 703-520-6446
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ZACHARY GOLDMAN
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Credential | MSW
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Telephone | 860-817-4681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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