Grimes, Dara M

Grimes, Dara M is an individual health care provider with primary practice located at 2960 Chain Bridge Rd Ste 200 , Oakton VA 22124-3040. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Grimes, Dara M can be contacted via phone (703) 490-0336.

Contact Information

Primary practice address
2960 Chain Bridge Rd Ste 200 Oakton VA 22124-3040
Phone: (703) 490-0336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000970A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34006575A Indiana

Profile Details

NPI number 1821364258
LBN Legal business name Grimes, Dara M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2012
Last updated Jan 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821364258 NPPES
Indiana MEDICAID 200275200A

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