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NPI Code Detail

MEDICARE: T. H. & ASSOCIATES

MEDICARE: T. H. & ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center
2261QM0855XAdolescent and Children Mental Health Clinic/Center
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1417694605
Entity Type Code : Organization
Provider Name (Legal Business Name) : T. H. & ASSOCIATES
Provider Business Mailing Address
First Line : 2800 EISENHOWER AVE STE 220
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-4587
Country : US
Telephone Number : 540-358-0423
Fax Number :
Provider Business Practice Location Address
First Line : 2800 EISENHOWER AVE STE 220
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-4587
Country : US
Telephone Number : 540-358-0423
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. TIERRA HEREFORD
Credential : DSW, LCSW
Telephone Number : 540-358-0423
Provider Enumeration Date : 05/18/2022
Last Update Date : 12/17/2025

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