Organization
LBX THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA BRADFORD XANTUS LPC (OWNER)
(703) 596-3978
Entity
Organization
Contact information
Practice address
3102 GOLANSKY BLVD STE 202, WOODBRIDGE, VA 22192-4244
(703) 596-3978
Mailing address
3102 GOLANSKY BLVD STE 202, WOODBRIDGE, VA 22192-4244
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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