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360 Innovative Therapy Llc
School Counselor in Fairfax, Virginia
NPI 1770178816

360 Innovative Therapy Llc is a School Counselor based in Fairfax, VA and is specialized in School. 360 Innovative Therapy Llc practices in Fairfax, VA. The NPI Number for 360 Innovative Therapy Llc is 1770178816 and holds a License No. (Virginia).

The current practice location address for 360 Innovative Therapy Llc is 10304 Eaton Pl Ste 100, Fairfax, VA and can be reached out via phone at 571-575-3767 and via fax at 877-525-1222.

Location: 10304 Eaton Pl Ste 100, Fairfax, VA, 22030-2238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770178816
Provider Name
360 Innovative Therapy Llc
Credential
Provider Entity Type
Organization
Address
10304 Eaton Pl Ste 100, Fairfax, VA, 22030-2238
Phone Number
571-575-3767
Fax Number
877-525-1222
Provider Enumeration Date
03/01/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10304 Eaton Pl Ste 100
City
Fairfax
State
Virginia
Zip
22030-2238
Phone Number
571-575-3767
Fax Number
877-525-1222
person
Provider Business Mailing Address Details
Address
10304 Eaton Pl Ste 100
City
Fairfax
State
Virginia
Zip
22030-2238
Phone Number
571-575-3767
Fax Number
877-525-1222
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
()
Definition
Definition to come...
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