Organization
HEALING TREE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINA LIW PH.D. (DIRECTOR)
(765) 418-0080
Entity
Organization
Contact information
Practice address
11402 ARISTOTLE DR APT 2313, FAIRFAX, VA 22030-7519
(765) 418-0080
Mailing address
11402 ARISTOTLE DR APT 2313, FAIRFAX, VA 22030-7519
(765) 418-0080
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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