Organization
BEHAVIORAL HEALTH SERVICES, LLC
Active
Other names
Four Elements Behavioral Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
FANGYU QI LCSW-C, LCSW, LICSW (OWNER)
(917) 435-7935
Entity
Organization
Contact information
Practice address
207 PARK AVE STE B3, FALLS CHURCH, VA 22046-4312
(917) 435-7935
Mailing address
13814 BRANHAM CT, CENTREVILLE, VA 20120-5200
(917) 435-7935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
07/25/2021
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