Organization
PRIVIA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA FOULKROD (AVP, CRED & ENROLLMENT)
(571) 650-2710
Entity
Organization
Contact information
Practice address
9711 WASHINGTONIAN BLVD STE 550, GAITHERSBURG, MD 20878-5789
(240) 384-3442
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(800) 973-1442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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