Organization
MINDFUL CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTY THEODORE LPC (THERAPIST/OWNER)
(571) 403-1283
Entity
Organization
Contact information
Practice address
4551 STRUTFIELD LN, ALEXANDRIA, VA 22311-4967
(571) 403-1283
Mailing address
107 S WEST ST STE 740, ALEXANDRIA, VA 22314-2824
(571) 403-1283
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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