Organization · Type 2 NPI

Phyllis Miller Palombi Ms, LMFT

Adult Mental Health Clinic/Center · Reston, VA

NPI number 1255724936 Active

Practice location

11524 Hemingway Dr
Reston, VA 20194-1252

Fax (703) 563-9181

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850X0717000212 (VA)
Adult Mental Health Clinic/Center 261QM0850X0701001061 (VA)
Adult Mental Health Clinic/Center 261QM0850XPRC13615 (DC)

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1255724936

Phyllis Miller Palombi Ms, LMFT's National Provider Identifier is 1255724936, issued on Mar 5, 2015. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Reston, VA. The record was last updated on Mar 5, 2015.