Organization
LASTING SERENITY TELEPSYCHIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARTONIAH HASSAN PMHNP (PRESIDENT)
(301) 792-9477
Entity
Organization
Contact information
Practice address
8665 SUDLEY RD # 228, MANASSAS, VA 20110-4588
(571) 308-8243
Mailing address
8665 SUDLEY RD # 228, MANASSAS, VA 20110-4588
(571) 308-8243
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
09/07/2022
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