Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brookside Family Therapy, LLC

Organization Mental Health Counselor · NPI 1477323152

Brookside Family Therapy, LLC is a Mental Health Counselor in Manassas Park, Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9105A Owens Dr Ste 102
Manassas Park, VA 20111-4852
Phone: (571) 445-0265
Fax: (855) 755-7769
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1477323152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Austin — Owner · (571) 331-9704
NPI enumeratedJanuary 4, 2024
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing address7118 Knotty Oak Ln, Manassas, VA 20112-3235

Other providers in Manassas Park