Organization
PRACTICAL THERAPEUTIC SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY S POWELL LCSW (MEMBER)
(703) 801-5527
Entity
Organization
Contact information
Practice address
10372 DEMOCRACY LN, FAIRFAX, VA 22030-2522
(703) 591-2551
Mailing address
10372 DEMOCRACY LN, FAIRFAX, VA 22030-2522
(703) 591-2551
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904007483
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09044007483
MENTALHEALTH/COUNSELOR
VA
Enumeration date
09/13/2012
Last updated
01/28/2016
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