Organization
POSITIVE MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJEEV SHARMA MD (OWNER)
(703) 623-5150
Entity
Organization
Contact information
Practice address
6181 WINDHAM HILL RUN, ALEXANDRIA, VA 22315-3726
(703) 623-5150
(301) 808-0282
Mailing address
6181 WINDHAM HILL RUN, ALEXANDRIA, VA 22315-3726
(703) 623-5150
(301) 808-0282
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0101255740
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12663498
CAQH
VA
Enumeration date
04/19/2016
Last updated
04/19/2016
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