# PARAGON MEDPSYCHIATRY SERVFICES

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

## Provider details

- **NPI number:** 1790395176
- **Authorized official:** DANA MOHL MSN, FNP-C, PMHNP-BC (NURSE PRACTITIONER)
- **Authorized official phone:** (703) 463-8638

## Contact information

- **Practice address:** 9300 FOREST POINT CIR, MANASSAS, VA 20110-4765
- **Practice address phone:** (703) 493-1483
- **Practice address fax:** (470) 201-6414
- **Mailing address:** 9300 FOREST POINT CIR, MANASSAS, VA 20110-4765
- **Mailing address phone:** (703) 493-1483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2020
- **Last updated:** 04/20/2021