360 Innovative Therapy Llc

LBN: 360 Innovative Therapy Llc
360 Innovative Therapy Llc is an health care organization with primary practice located at 10304 Eaton Pl Ste 100 , Fairfax VA 22030-2238. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. 360 Innovative Therapy Llc can be contacted via phone (571) 575-3767, or through Mcnairy, Beverly via phone (571) 575-3767.

Contact Information

Primary practice address
10304 Eaton Pl Ste 100 Fairfax VA 22030-2238
Phone: (571) 575-3767
Fax: (877) 525-1222
Website:
Map and Directions
Authorized official contact:
Name: Mcnairy, Beverly ED.M.
Phone: (571) 575-3767

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1770178816
LBN Legal business name 360 Innovative Therapy Llc
DBA Doing business as
Authorized official Mcnairy, Beverly ED.M.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2021
Last updated Mar 1st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers