Organization · Type 2 NPI

Fairfax County, Virginia

Mental Health Clinic/Center (Including Community Mental Health Center) · Fairfax, VA

NPI number 1154356244 Active

Practice location

12011 Government Center Parkway, Suite 836
Fairfax, VA 22035

Call (703) 324-7000 Map

Fax (703) 653-6626

Mailing address

12011 Government Center Pkwy Ste 836
Fairfax, VA 22035-1100

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Multi-Specialty Clinic/Center	261QM1300X	113 (VA)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

2 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Fairfax

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NPI record

NPI: 1154356244
Entity type: Organization (Type 2)
Issued: Jul 11, 2006
Last updated: Mar 17, 2026
Status: Active

Other names

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Fairfax-Falls Church Community Services Board · doing business as
Fairfax-Falls Church Community Services Board · doing business as

Authorized official

Barbara Wadley-Young
Acting Executive Director
(703) 324-4431

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154356244

Fairfax County, Virginia's National Provider Identifier is 1154356244, issued on Jul 11, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Fairfax, VA. The record was last updated on Mar 17, 2026.