Provider Demographics
NPI:1992250179
Name:JADE AND JASMINE HEALING ARTS LLC
Entity type:Organization
Organization Name:JADE AND JASMINE HEALING ARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:BURKE
Authorized Official - Last Name:FARRAR
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:240-988-1080
Mailing Address - Street 1:207 PARK AVE STE B6
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4312
Mailing Address - Country:US
Mailing Address - Phone:240-988-1080
Mailing Address - Fax:
Practice Address - Street 1:207 PARK AVE STE B6
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4312
Practice Address - Country:US
Practice Address - Phone:240-988-1080
Practice Address - Fax:844-806-3248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000811171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty