Organization
A BALANCED APPROACH TO BEHAVIORAL & MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMMALA SHETEF ROUNDTREE PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
(703) 216-1812
Entity
Organization
Contact information
Practice address
1727 KING ST STE 3, ALEXANDRIA, VA 22314-2700
(571) 695-2386
(571) 695-2252
Mailing address
1727 KING ST STE 3, ALEXANDRIA, VA 22314-2700
(571) 695-2386
(571) 695-2252
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
09/26/2023
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