# DIVORCE AND MARITAL STRESS CLINIC INC

> 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
- **Other names:** Key Bridge Therapy and Mediation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407974843
- **Authorized official:** EMILY M BROWN LCSW MSW (DIRECTOR)
- **Authorized official phone:** (703) 528-3900

## Contact information

- **Practice address:** 1600 WILSON BLVD, SUITE 702, ARLINGTON, VA 22209-2505
- **Practice address phone:** (703) 528-3900
- **Practice address fax:** (703) 524-7525
- **Mailing address:** 1600 WILSON BLVD, SUITE 702, ARLINGTON, VA 22209-2505
- **Mailing address phone:** (703) 528-3900
- **Mailing address fax:** (703) 524-7525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904000834 | VA | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020