# HAYWARD WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1255206793
- **Authorized official:** DA'SHUNNDA HAYWARD-WHITE LICSW (CEO)
- **Authorized official phone:** (571) 279-8981

## Contact information

- **Practice address:** 8000 WESTPARK DR STE 450, STE 450 PMB 1044, MC LEAN, VA 22102-3100
- **Practice address phone:** (571) 279-8981
- **Mailing address:** 8000 WESTPARK DRIVE, STE 450 PMB 1044, MCLEAN, VA 22102
- **Mailing address phone:** (571) 279-8981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 10/06/2025
- **Last updated:** 10/06/2025