Organization
MINDSPARKS. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAIRA QAZI (PRESIDENT)
(703) 507-2692
Entity
Organization
Contact information
Practice address
1765 GREENSBORO STATION PL STE 900, MC LEAN, VA 22102-3470
(703) 481-9800
(703) 481-9801
Mailing address
1765 GREENSBORO STATION PL STE 900, MC LEAN, VA 22102-3470
(703) 481-9800
(703) 481-9801
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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