PIMMIT COUNSELING & WELLNESS CLINIC PLLC NPI 1740386762

NPI Information

NPI: 1740386762
Provider Name: PIMMIT COUNSELING & WELLNESS CLINIC PLLC

Other Name: PIMMIT COUNSELING & WELLNESS CLINIC

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2235 CEDAR LN STE 102
VIENNA, VA
ZIP 22182
Phone: (703) 556-4888
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PIMMIT COUNSELING & WELLNESS CLINIC PLLC is a professional counselor in Vienna, VA. PIMMIT COUNSELING & WELLNESS CLINIC PLLC NPI is 1740386762. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Pimmit Counseling & Wellness Clinic.

The provider's business location address is:

2235 CEDAR LN STE 102
VIENNA, VA
ZIP 22182-247
Phone: (703) 556-4888
Fax: (703) 556-7774

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

The enumeration date for this NPI number is 9/16/2006 and was last updated on 10/18/2022.

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	103K00000X	Behavior Analyst				No
2	101YP2500X	Counselor	Professional	0701002934	VIRGINIA	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	005411165	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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