Individual
IVELISSE MORALES-RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 HERITAGE WAY NE, LEESBURG, VA 20176-4544
(703) 771-5100
Mailing address
102 HERITAGE WAY NE, LEESBURG, VA 20176-4544
(703) 771-5100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1710225917
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042622756
COMMONWEALTH
MA
01
—
1022610
NHP
MA
01
—
12529
HEATLH NEW ENGLAND
MA
01
—
1303295
MBHP
MA
05
—
1303295
—
MA
01
—
8443
BMC/BEACON
MA
01
—
997303
NETWORK HEALTH
MA
Enumeration date
01/22/2013
Last updated
08/01/2025
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