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Organization

UNITY KIDS BEHAVIORAL HEALTH PLLC

Active
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Organization

UNITY KIDS BEHAVIORAL HEALTH PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LANA MAHGOUB PHD, LCP (LICENSED CLINICAL PSYCHOLOGIST)
(703) 926-9122
Entity
Organization

Contact information

Practice address
21525 RIDGETOP CIR STE 110, DULLES, VA 20166-6510
(703) 926-9122
Mailing address
21525 RIDGETOP CIR STE 110, DULLES, VA 20166-6510
(703) 926-9122

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—

Other

Enumeration date
05/01/2025
Last updated
05/01/2025
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