Organization
PRISMATIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN GREEN LPC (OWNER AND PROFESSIONAL COUNSELOR)
(703) 249-9523
Entity
Organization
Contact information
Practice address
4533 RALEIGH AVE, ALEXANDRIA, VA 22304-6972
(703) 249-9523
Mailing address
1602 BELLE VIEW BLVD # 4120, ALEXANDRIA, VA 22307-6531
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
08/10/2021
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