# NOVA ADDICTION SPECIALISTS LLLC

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

## Provider details

- **NPI number:** 1245789460
- **Authorized official:** DR. MICHAEL HOMEYER MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (703) 340-1304

## Contact information

- **Practice address:** 101 N COLUMBUS ST, SUITE 405, ALEXANDRIA, VA 22314-3056
- **Practice address phone:** (703) 340-1304
- **Practice address fax:** (888) 965-7708
- **Mailing address:** 101 N COLUMBUS ST, SUITE 405, ALEXANDRIA, VA 22314-3056
- **Mailing address phone:** (703) 340-1304
- **Mailing address fax:** (888) 965-7708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2016
- **Last updated:** 09/29/2016