# BANYAN COUNSELING CENTER, INC.

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

## Provider details

- **NPI number:** 1437356979
- **Authorized official:** MS. MARTHA LOUISE HARRIS LCSW (PRESIDENT)
- **Authorized official phone:** (703) 717-0999

## Contact information

- **Practice address:** 2820 SCHOOL ST, ALEXANDRIA, VA 22303-2443
- **Practice address phone:** (703) 717-0999
- **Practice address fax:** (703) 717-0999
- **Mailing address:** 2820 SCHOOL ST, ALEXANDRIA, VA 22303-2443
- **Mailing address phone:** (703) 717-0999
- **Mailing address fax:** (703) 717-0999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904002248 | VA | Yes |

## Other

- **Enumeration date:** 06/28/2007
- **Last updated:** 08/22/2020