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

Mental Health Therapy Center - Northern Virginia, LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1194566117

Mental Health Therapy Center - Northern Virginia, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Fairfax, Virginia. Registered with an NPI since 2024.

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

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Practice location Address checks out

10721 Main St Ste 1300
Fairfax, VA 22030-6902
Phone: (703) 536-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1194566117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Gingras — Division Cfo · (804) 228-4901
NPI enumeratedJune 4, 2024
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address10721 Main St Ste 1300, Fairfax, VA 22030-6902

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