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Peak Performance Neurofeedback, Llc
Adolescent and Children Mental Health Clinic/Center in Herndon, Virginia
NPI 1275913436

Peak Performance Neurofeedback, Llc is an Adolescent and Children Mental Health Clinic/Center based in Herndon, VA and is specialized in Adolescent and Children Mental Health. Peak Performance Neurofeedback, Llc practices in Herndon, VA. The NPI Number for Peak Performance Neurofeedback, Llc is 1275913436 and holds a License No. 0810004027 (Virginia).

The current practice location address for Peak Performance Neurofeedback, Llc is 13800 Coppermine Rd, Herndon, VA and can be reached out via phone at 619-540-3235 and via fax at 703-234-2213.

Location: 13800 Coppermine Rd, Herndon, VA, 20171-6163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275913436
Provider Name
Peak Performance Neurofeedback, Llc
Credential
Provider Entity Type
Organization
Address
13800 Coppermine Rd, Herndon, VA, 20171-6163
Phone Number
619-540-3235
Fax Number
703-234-2213
Provider Enumeration Date
06/03/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
13800 Coppermine Rd
City
Herndon
State
Virginia
Zip
20171-6163
Phone Number
619-540-3235
Fax Number
703-234-2213
person
Provider Business Mailing Address Details
Address
13800 Coppermine Rd
City
Herndon
State
Virginia
Zip
20171-6163
Phone Number
619-540-3235
Fax Number
703-234-2213
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
0810004027 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
0810004027 (Virginia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
0810004027 (Virginia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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