GREAT FALLS WELLNESS LLC NPI 1962119610

NPI Information

NPI: 1962119610
Provider Name: GREAT FALLS WELLNESS, LLC
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
CLIA Number: 49D2301000
Address: 737 WALKER RD STE 2
GREAT FALLS, VA
ZIP 22066
Phone: (703) 659-1400

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NPI Details

GREAT FALLS WELLNESS, LLC is a rehabilitation and substance use disorder clinic center in Great Falls, VA. GREAT FALLS WELLNESS, LLC NPI is 1962119610. The provider is registered as an organization entity type.

The provider's business location address is:

737 WALKER RD STE 2
GREAT FALLS, VA
ZIP 22066-833
Phone: (703) 659-1400

The provider's authorized official is Matt Lavin .
The authorized official title is Owner/ceo and has the following contact phone number (202) 365-8593.

The CLIA number assigned to this NPI record is 49D2301000 - other - op sud facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2022 and was last updated on 2/23/2024.

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	251S00000X	Community/Behavioral Health		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

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: 11/21/2025

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