Organization
STRESS CENTRE, INC.
Active
Parent organization
STRESSCENTRE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
STRESSCENTRE, INC.
Authorized official
DR. SEGUNDA YANEX ACOSTA (PRESIDENT)
(703) 392-6410
Entity
Organization
Contact information
Practice address
10529 CRESTWOOD DR, SUITE # 101, MANASSAS, VA 20109-4418
(703) 392-6420
(703) 392-6421
Mailing address
10529 CRESTWOOD DR, SUITE # 101, MANASSAS, VA 20109-4418
(703) 392-6420
(703) 392-6421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0015000200
VA
106H00000X
Marriage & Family Therapist
0015000200
VA
163WP0000X
Pain Management Registered Nurse
0015000200
VA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
0015000200
VA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
0015000200
VA
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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