Organization
VALLEY PRIMARY & BEHAVIORAL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA JUANA-KAMANDA NP (OWNER)
(571) 306-8614
Entity
Organization
Contact information
Practice address
10625 MCCORMICK FARM DR, MANASSAS, VA 20110-6934
(571) 306-8614
(202) 519-8044
Mailing address
10625 MCCORMICK FARM DR, MANASSAS, VA 20110-6934
(571) 306-8614
(202) 519-8044
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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