Organization
PURPLE WILLOW BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY COLOMBO BCBA, LBA (OWNER)
(703) 623-5471
Entity
Organization
Contact information
Practice address
11452 ABNER AVE, FAIRFAX, VA 22030-6029
(703) 623-5471
Mailing address
11452 ABNER AVE, FAIRFAX, VA 22030-6029
(703) 623-5471
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/17/2021
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