Provider Demographics
NPI:1487286498
Name:GLOBAL CONSORTIUM, LLC
Entity type:Organization
Organization Name:GLOBAL CONSORTIUM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-257-8634
Mailing Address - Street 1:101 S WHITING ST STE 106
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-3416
Mailing Address - Country:US
Mailing Address - Phone:571-257-8634
Mailing Address - Fax:571-921-4304
Practice Address - Street 1:101 S WHITING ST STE 106
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3416
Practice Address - Country:US
Practice Address - Phone:571-257-8634
Practice Address - Fax:571-921-4304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty