Organization · Type 2 NPI

Professional Management Services, LLC

Addiction Medicine (Family Medicine) Physician · Centreville, VA

NPI number 1356720437 Active

Practice location

6138 Redwood Square Ctr, Suite 204
Centreville, VA 20121-4264

Call (703) 229-5453 Map

Fax (888) 352-8653

Mailing address

2281 Valley Ave
Winchester, VA 22601-2755

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	None listed
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Contractor	171W00000X	None listed
Addiction Medicine (Family Medicine) Physician Primary	207QA0401X	None listed
Addiction Medicine (Internal Medicine) Physician	207RA0401X	None listed
Clinical Pathology/Laboratory Medicine Physician	207ZP0105X	None listed
Addiction Medicine (Psychiatry & Neurology) Physician	2084A0401X	None listed
Behavioral Neurology & Neuropsychiatry Physician	2084B0040X	None listed
Addiction Psychiatry Physician	2084P0802X	None listed
General Practice Physician	208D00000X	None listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

NPI record

NPI: 1356720437
Entity type: Organization (Type 2)
Issued: May 22, 2015
Last updated: Oct 6, 2021
Status: Active

Other names

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Virginia Addiction Medicine · doing business as
Virginia Addiction Medicine · doing business as

Authorized official

Mrs. Birgit Gabriele Whyard
Director of Operations
(703) 229-5453

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 1356720437

Professional Management Services, LLC's National Provider Identifier is 1356720437, issued on May 22, 2015. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Centreville, VA. The record was last updated on Oct 6, 2021.