# VALLEY PRIMARY & BEHAVIORAL HEALTH CLINIC LLC

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

## Provider details

- **NPI number:** 1043171523
- **Authorized official:** THERESA JUANA-KAMANDA NP (OWNER)
- **Authorized official phone:** (571) 306-8614

## Contact information

- **Practice address:** 10625 MCCORMICK FARM DR, MANASSAS, VA 20110-6934
- **Practice address phone:** (571) 306-8614
- **Practice address fax:** (202) 519-8044
- **Mailing address:** 10625 MCCORMICK FARM DR, MANASSAS, VA 20110-6934
- **Mailing address phone:** (571) 306-8614
- **Mailing address fax:** (202) 519-8044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LC1500X | Community Health Nurse Practitioner | — | NULL | Yes |
| 363LC1500X | Community Health Nurse Practitioner | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/24/2025
- **Last updated:** 11/24/2025