Organization
TRAUMA AND HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPA PATEL CSOTP, LCSW (CO-OWNER)
(571) 366-0086
Entity
Organization
Contact information
Practice address
8317 BLUEBIRD WAY, UNIT K, LORTON, VA 22079-2844
(571) 366-0086
Mailing address
8317 BLUEBIRD WAY, UNIT K, LORTON, VA 22079-2844
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904007859
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0812000610
CERTIFIED SEX OFFENDER TREATMENT PROFESSIONAL
VA
01
—
0904007859
LICENSED CLINICAL SOCIAL WORKER
VA
Enumeration date
07/30/2015
Last updated
07/30/2015
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