Organization
PRIVIA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GABBAI (ENROLLMENT MANAGER)
(484) 569-9066
Entity
Organization
Contact information
Practice address
5024 DORSEY HALL DR STE 202B, ELLICOTT CITY, MD 21042-7869
(410) 834-5588
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(571) 982-6636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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