Organization
MIND BODY SPIRIT THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA HALSTEAD (OWNER)
(301) 538-5996
Entity
Organization
Contact information
Practice address
5320 WEYMOUTH DR, SPRINGFIELD, VA 22151-1502
(301) 538-5996
Mailing address
5320 WEYMOUTH DR, SPRINGFIELD, VA 22151-1502
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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