Organization
SMILE FOR LIFE BEHAVIORAL HEALTH
Active
Other names
Smile For Life Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SWARNALATHA PRASANNA M.D. (PSYCHIATRIST)
(703) 492-0500
Entity
Organization
Contact information
Practice address
1455 OLD BRIDGE RD, SUITE 206, WOODBRIDGE, VA 22192-2727
(703) 492-0500
(703) 497-0806
Mailing address
1455 OLD BRIDGE RD STE 206, WOODBRIDGE, VA 22192-2727
(703) 492-0500
(703) 497-0806
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0101232216
VA
Other
Enumeration date
07/24/2007
Last updated
05/21/2008
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