Organization
AVESTA ALTERNATIVE CARE
Active
Other names
Avesta Ketamine and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LADAN ESHKEVARI PHD, CRNA (OWNER)
(703) 201-7767
Entity
Organization
Contact information
Practice address
6861 ELM ST STE 3E, MC LEAN, VA 22101-6036
(703) 646-6343
Mailing address
1268 BEVERLY RD, MC LEAN, VA 22101-2834
(703) 201-7767
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033703061
NPI
—
01
—
1073153805
NPI
—
Enumeration date
04/13/2022
Last updated
04/13/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us