Organization
NOVA THERAPY LOUNGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJOLIJN NARSIS HIEMSTRA LPC, NLP (LICENSED PROFESSIONAL COUNSELOR)
(571) 409-1783
Entity
Organization
Contact information
Practice address
14451 N SLOPE ST, CENTREVILLE, VA 20120-4151
(571) 409-1783
Mailing address
14451 N SLOPE ST, CENTREVILLE, VA 20120-4151
(571) 409-1783
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
02/15/2026
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