RENAISSANCE HEALTHCARE GROUP VIRGINIA LLC NPI 1891390472

NPI Information

NPI: 1891390472
Provider Name: RENAISSANCE HEALTHCARE GROUP VIRGINIA, LLC

Doing Business As: PASADENA VILLA OUTPATIENT CENTER- MCLEAN

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
7927 JONES BRANCH DR STE 5200
MC LEAN, VA
ZIP 22102
Phone: (703) 880-3871
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RENAISSANCE HEALTHCARE GROUP VIRGINIA, LLC is an adult mental health clinic center in Mc Lean, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. RENAISSANCE HEALTHCARE GROUP VIRGINIA, LLC NPI is 1891390472. The provider is registered as an organization entity type.
The provider Is Doing Business As Pasadena Villa Outpatient Center- Mclean.

The provider's business location address is:

7927 JONES BRANCH DR STE 5200
MC LEAN, VA
ZIP 22102-317
Phone: (703) 880-3871

The provider's authorized official is Scott Sarnacke .
The authorized official title is Cfo and has the following contact phone number (615) 864-8154.

The enumeration date for this NPI number is 12/2/2020 and was last updated on 3/24/2023.

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	261QM0850X	Clinic/Center	Adult Mental Health			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: 5/5/2024

NPI Synchronization or Removal

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