Privia Medical Group, Llc

LBN: Privia Medical Group, Llc
Privia Medical Group, Llc is an health care organization with primary practice located at 1201 Seven Locks Rd Ste 111 , Rockville MD 20854-2957. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Privia Medical Group, Llc can be contacted via phone (571) 366-8850, or through Ivess, Courtney Ainsworth via phone (571) 366-8831.

Contact Information

Primary practice address
1201 Seven Locks Rd Ste 111 Rockville MD 20854-2957
Phone: (571) 366-8850
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ivess, Courtney Ainsworth
Phone: (571) 366-8831

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1689262891
LBN Legal business name Privia Medical Group, Llc
DBA Doing business as
Authorized official Ivess, Courtney Ainsworth
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2021
Last updated Jan 4th, 2021 - 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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