Irene Ilachinski, Lcsw

LBN: Open Bridges Counseling, Llc
Irene Ilachinski, Lcsw is an health care organization with primary practice located at 10400 Eaton Place Ste 200, Fairfax VA 22030. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Open Bridges Counseling, Llc can be contacted via phone (703) 591-5912, or through Ilachinski, Irene Carol via phone (703) 591-5912.

Contact Information

Primary practice address
10400 Eaton Place Ste 200 Fairfax VA 22030
Fax: (703) 591-7210
Website:
Authorized official contact:
Name: Ilachinski, Irene Carol Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904006259 Virginia

Profile Details

NPI number 1346589587
LBN Legal business name Open Bridges Counseling, Llc
DBA Doing business as Irene Ilachinski, Lcsw
Authorized official Ilachinski, Irene Carol Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2013
Last updated Jan 24th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346589587 NPPES
Virginia MEDICAID 01013047083

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