# BEHAVIORAL HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Four Elements Behavioral Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134797970
- **Authorized official:** FANGYU QI LCSW-C, LCSW, LICSW (OWNER)
- **Authorized official phone:** (917) 435-7935

## Contact information

- **Practice address:** 207 PARK AVE STE B3, FALLS CHURCH, VA 22046-4312
- **Practice address phone:** (917) 435-7935
- **Mailing address:** 13814 BRANHAM CT, CENTREVILLE, VA 20120-5200
- **Mailing address phone:** (917) 435-7935

## Taxonomy

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

## Other

- **Enumeration date:** 06/17/2021
- **Last updated:** 07/25/2021