# A BALANCED APPROACH TO BEHAVIORAL & MENTAL HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1285329839
- **Authorized official:** MRS. KIMMALA SHETEF ROUNDTREE PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (703) 216-1812

## Contact information

- **Practice address:** 1727 KING ST STE 3, ALEXANDRIA, VA 22314-2700
- **Practice address phone:** (571) 695-2386
- **Practice address fax:** (571) 695-2252
- **Mailing address:** 1727 KING ST STE 3, ALEXANDRIA, VA 22314-2700
- **Mailing address phone:** (571) 695-2386
- **Mailing address fax:** (571) 695-2252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2023
- **Last updated:** 09/26/2023
