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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

360 INNOVATIVE THERAPY LLC

Active Organization

360 INNOVATIVE THERAPY LLC is a Addiction (Substance Use Disorder) Counselor organization located in FAIRFAX, Virginia. NPI 1770178816 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · FAIRFAX, VA

Registration Details

NPI Number
1770178816
Provider Type
Organization
NPI Issued
Mar 1, 2021 (5.4769131142783 yrs)
Last Updated
Mar 1, 2021

Practice Information

Address
10304 EATON PL STE 100
FAIRFAX, VA, 220302238
Browse VA providers · Browse ZIP 22030
Phone
5715753767
Fax
8775251222
Additional Specialty
Mental Health Counselor
Additional Specialty
School Counselor

Other Addiction (Substance Use Disorder) Counselor Organizations in FAIRFAX, VA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.