Organization
WALSTON HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA L WALSTON (OWNER)
(703) 924-9810
Entity
Organization
Contact information
Practice address
6164 FULLER CT, ALEXANDRIA, VA 22310-2540
(703) 924-9810
(703) 924-7044
Mailing address
6164 FULLER CT, ALEXANDRIA, VA 22310-2540
(703) 924-9810
(703) 924-7044
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0024173415
VA
Other
Enumeration date
07/05/2016
Last updated
08/28/2024
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