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HEALING HEARTS VA, LLC

>> Community/Behavioral Health >> Agencies

Registrant NPI Number: 1982146262

Organizational Registrant:
Organization Name:  HEALING HEARTS VA, LLC
Organization is not Subpart
Authorized Official:  JESSICA  RIZK  LPC/OWNER  412--50-89365

Location and contact information for practice:
4000 LEGATO RD STE 1100  FAIRFAX, VA 22033-2893 US
Tel: 412-508-9365  Fax: --

Contact information for business:
2230 GEORGE C MARSHALL DR 1114 FALLS CHURCH, VA 22043-2529 US
Tel: 412-508-9365  Fax: --

Registration Information:
NPI: 1982146262
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251S00000XAgencies
Community/Behavioral Health
VA0701006629

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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