Provider Demographics
NPI:1386868677
Name:INNER PERSONAL SESSIONS EMOTIONAL HEALTHCARE
Entity type:Organization
Organization Name:INNER PERSONAL SESSIONS EMOTIONAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORK CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SESSIONS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:703-583-2991
Mailing Address - Street 1:5596 NEDDLETON AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-4166
Mailing Address - Country:US
Mailing Address - Phone:703-407-5901
Mailing Address - Fax:703-680-5901
Practice Address - Street 1:5596 NEDDLETON AVE
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-4166
Practice Address - Country:US
Practice Address - Phone:703-407-5901
Practice Address - Fax:703-680-5901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904004996251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health