Organization
PURE THERAPEUTIC COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA PTAK LPC (CEO)
(703) 994-2828
Entity
Organization
Contact information
Practice address
7440 HERITAGE VILLAGE PLZ STE 102, GAINESVILLE, VA 20155-3081
(703) 994-2828
Mailing address
7440 HERITAGE VILLAGE PLZ STE 102, GAINESVILLE, VA 20155-3081
(703) 994-2828
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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