Organization
NOUVEAU PSYCHOLOGICAL WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAIGE VICTORINE PSY.D. (CO-OWNER)
(571) 534-3825
Entity
Organization
Contact information
Practice address
1530 WILSON BLVD STE 360, ARLINGTON, VA 22209-2466
(571) 534-3825
(571) 376-6941
Mailing address
1530 WILSON BLVD STE 360, ARLINGTON, VA 22209-2466
(571) 534-3825
(571) 376-6941
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/30/2023
Last updated
12/20/2023
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