Pearl Vitality Counseling

LBN: Pearl Vitality Counseling
Pearl Vitality Counseling is an health care organization with primary practice located at 4809 Eisenhower Ave Ste B , Alexandria VA 22304-4832. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Pearl Vitality Counseling can be contacted via phone (757) 358-1771, or through Bryan, Talia via phone (757) 358-1771.

Contact Information

Primary practice address
4809 Eisenhower Ave Ste B Alexandria VA 22304-4832
Phone: (757) 358-1771
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bryan, Talia Licensed Clinical Social Worker (LCSW)
Phone: (757) 358-1771

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 0904008852 Virginia
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 0904008852 Virginia
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1639687312
LBN Legal business name Pearl Vitality Counseling
DBA Doing business as
Authorized official Bryan, Talia Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2018
Last updated Jan 17th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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