360 Innovative Therapy LLC
360 Innovative Therapy LLC is a Counselor in Fairfax, Virginia. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10304 Eaton Pl Ste 100Fairfax, VA 22030-2238
Phone: (571) 575-3767
Fax: (877) 525-1222
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Mental Health Counselor | Taxonomy 101YM0800X |
| School Counselor | Taxonomy 101YS0200X |
Record details
| NPI number | 1770178816 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Beverly McNairy — Ceo · (571) 575-3767 |
| Other names | 360 Innovative Therapy |
| NPI enumerated | March 1, 2021 |
| Last updated in NPPES | March 1, 2021 |
| Certification date | February 26, 2021 |
| Mailing address | 10304 Eaton Pl Ste 100, Fairfax, VA 22030-2238 |
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