Smile for Life Behavioral Health
Smile for Life Behavioral Health is a Preferred Provider Organization in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2007.
- Licensed in
- VA
- In the registry since
- 2007
Practice location Address checks out
1455 Old Bridge Rd Ste 206Woodbridge, VA 22192-2727
Phone: (703) 492-0500
Fax: (703) 497-0806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 0101232216 (VA) |
|---|
Record details
| NPI number | 1942400189 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Swarnalatha Prasanna — Psychiatrist · (703) 492-0500 |
| Other names | Smile For Life Behavioral Health |
| NPI enumerated | July 24, 2007 |
| Last updated in NPPES | May 21, 2008 |
| Mailing address | 1455 Old Bridge Rd Ste 206, Woodbridge, VA 22192-2727 |
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