Organization · Type 2 NPI
Brain Bloom Neurotherapy Center PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Mc Lean, VA
NPI number
1659113322
Active
Practice location
1303 Vincent Pl
Mc Lean, VA 22101-3615
Fax (703) 288-0767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
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About NPI 1659113322
Brain Bloom Neurotherapy Center PLLC's National Provider Identifier is 1659113322, issued on Jun 12, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Mc Lean, VA. The record was last updated on Oct 25, 2026.