PIMMIT COUNSELING & WELLNESS CLINIC PLLC NPI 1407346695

NPI Information

NPI: 1407346695
Provider Name: PIMMIT COUNSELING & WELLNESS CLINIC PLLC

Other Name: PIMMIT COUNSELING & WELLNESS CLINIC ABA PROGRAM

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2235 CEDAR LN STE 102
VIENNA, VA
ZIP 22182
Phone: (703) 556-4888
Get Directions

PIMMIT COUNSELING & WELLNESS CLINIC PLLC is a mental health (including community mental health center) clinic center in Vienna, VA. PIMMIT COUNSELING & WELLNESS CLINIC PLLC NPI is 1407346695. The provider is registered as an organization entity type.
The provider Other Name Is Pimmit Counseling & Wellness Clinic Aba Program.

The provider's business location address is:

2235 CEDAR LN STE 102
VIENNA, VA
ZIP 22182-247
Phone: (703) 556-4888

The provider's authorized official is Shahrzad N/a Poorshaghaghi .
The authorized official title is Director and has the following contact phone number (703) 556-4888.

The enumeration date for this NPI number is 5/14/2018 and was last updated on 10/5/2020.

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	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	5411165	MEDICAID	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: 5/5/2024

NPI Synchronization or Removal

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