Fairfax Mental Health & Wellness

LBN: Fairfax Mental Health & Wellness
Fairfax Mental Health & Wellness is an health care organization with primary practice located at 3554 Chain Bridge Rd Suite 103, Fairfax VA 22030-2709. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Fairfax Mental Health & Wellness can be contacted via phone (703) 896-7628, or through Shore, Jonathan A via phone (703) 663-4041.

Contact Information

Primary practice address
3554 Chain Bridge Rd Suite 103 Fairfax VA 22030-2709
Phone: (703) 896-7628
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shore, Jonathan A
Phone: (703) 663-4041

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 810004513 Virginia

Profile Details

NPI number 1699201749
LBN Legal business name Fairfax Mental Health & Wellness
DBA Doing business as
Authorized official Shore, Jonathan A
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2017
Last updated May 11th, 2017 - about 7 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.

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