Organization
MANTRA MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONAL JAGASIA MD (OWNER)
(317) 730-4617
Entity
Organization
Contact information
Practice address
3925 BLENHEIM BLVD STE 52A, FAIRFAX, VA 22030-2426
(571) 368-6654
(571) 368-6655
Mailing address
3007 BARKLEY GATE LN, FAIRFAX, VA 22031-1462
(479) 283-3785
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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