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Organization

PROSPERITY EATING DISORDER AND WELLNESS

Active
Parent organization
PROSPERITY EATING DISORDER AND WELLNESS
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROSPERITY EATING DISORDER AND WELLNESS
Authorized official
HEATHER BAKER LCSW (OWNER)
(800) 863-7224
Entity
Organization

Contact information

Practice address
1031 STERLING RD STE 203, HERNDON, VA 20170-3873
(703) 446-5150
Mailing address
1031 STERLING RD STE 203, HERNDON, VA 20170-3873
(703) 446-5150

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/24/2017
Last updated
04/24/2017
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