# IN GOOD HANDS PROVIDER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013574797
- **Authorized official:** PAMELA MARSHALL LCSW (OWNER)
- **Authorized official phone:** (703) 624-2784

## Contact information

- **Practice address:** 12531 CLIPPER DR STE 202, WOODBRIDGE, VA 22192-2355
- **Practice address phone:** (202) 681-8320
- **Mailing address:** 8229 STATIONHOUSE CT, LORTON, VA 22079-1208
- **Mailing address phone:** (703) 624-2784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2019
- **Last updated:** 05/28/2019