# NOVA PSYCH & WELLNESS

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

## Provider details

- **NPI number:** 1073222311
- **Authorized official:** MELANIE YOUSEFI DNP, PMHNP-BC (CO-OWNER)
- **Authorized official phone:** (703) 783-2474

## Contact information

- **Practice address:** 10306 EATON PL STE 300, FAIRFAX, VA 22030-2201
- **Practice address phone:** (703) 783-2474
- **Practice address fax:** (703) 783-7459
- **Mailing address:** 10306 EATON PL STE 300, FAIRFAX, VA 22030-2201

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2022
- **Last updated:** 11/15/2022