Organization
ALOHA THERAPY FOR WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DIANE YOUNG (OWNER)
(703) 626-1282
Entity
Organization
Contact information
Practice address
10805 MAIN ST STE 500, FAIRFAX, VA 22030-4747
(571) 583-2372
Mailing address
6202 SIMPSON PATENT CT, FAIRFAX STATION, VA 22039-1346
(703) 626-1282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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