Provider Demographics
NPI:1902674146
Name:VEVE HEALTH SERVICES
Entity type:Organization
Organization Name:VEVE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOM
Authorized Official - Suffix:
Authorized Official - Credentials:NP, PMHNP-BC
Authorized Official - Phone:703-403-2750
Mailing Address - Street 1:11166 FAIRFAX BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-5017
Mailing Address - Country:US
Mailing Address - Phone:703-403-2750
Mailing Address - Fax:703-403-2750
Practice Address - Street 1:585 MAIN ST STE 145
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4354
Practice Address - Country:US
Practice Address - Phone:571-800-1855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty