POTOMAC CENTER INC NPI 1457403099

NPI Information

NPI: 1457403099
Provider Name: POTOMAC CENTER INC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
5500 HOLMES RUN PKWY
STE C4
ALEXANDRIA, VA
ZIP 22304
Phone: (703) 379-7350
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POTOMAC CENTER INC is a professional counselor in Alexandria, VA. POTOMAC CENTER INC NPI is 1457403099. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5500 HOLMES RUN PKWY
STE C4
ALEXANDRIA, VA
ZIP 22304-863
Phone: (703) 379-7350
Fax: (703) 379-7352

The provider's authorized official is Nathalie Gallet .
The authorized official title is Vp and has the following contact phone number (705) 379-7350.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 9/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103TC0700X	Psychologist	Clinical	No
2	1041C0700X	Social Worker	Clinical	No
3	101YP2500X	Counselor	Professional	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G00909	MEDICARE PIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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