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Organization

BRIGHT BEE-HAVIOR HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEDEST GEBRESELASSIE PMHNP/FNP (OWNER/MEMBER)
(571) 338-2764
Entity
Organization

Contact information

Practice address
50 S PICKETT ST STE 221, ALEXANDRIA, VA 22304-7206
(703) 539-5411
(703) 621-1800
Mailing address
16236 CHASE EAGLE LANE, WOODBRIDGE, VA 22191
(571) 338-2764

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2084P0802X
Addiction Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
10/06/2022
Last updated
04/18/2026
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