NPI 1831722313 · live from the CMS NPI Registry
Alexandria Therapy, LLC
Psychologist in Alexandria, VA. National Provider Identifier 1831722313, active.
NPI record
| NPI | 1831722313 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 2210 Mount Vernon Ave Ste 204, Alexandria, VA 22301 |
| Practice phone | 703-286-0406 |
| Mailing address | 2210 Mount Vernon Ave # Are204, Alexandria, VA 22301 |
| Enumerated | February 12, 2020 |
| Last updated | February 12, 2020 |
| Authorized official | Angel Daniels, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.