Organization
JIVA WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDNI BHATIA LPC (OWNER)
(240) 801-6202
Entity
Organization
Contact information
Practice address
4439 FAIR STONE DR APT 202, FAIRFAX, VA 22033-5118
(240) 801-6202
Mailing address
4439 FAIR STONE DR APT 202, FAIRFAX, VA 22033-5118
(240) 801-6202
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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