Organization
MINDFUL HEALING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RANKIN LCSW (PRACTICE MANAGER)
(703) 987-6500
Entity
Organization
Contact information
Practice address
1485 CHAIN BRIDGE RD STE 302, MC LEAN, VA 22101-4501
(703) 987-6500
(240) 219-3138
Mailing address
8601 LARKHAVEN TER, FAIRFAX STATION, VA 22039-3313
(571) 435-3334
(240) 219-3138
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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