Jose Luis Avila in Annandale - Mental Health

Jose Luis Avila - NPI 1194789545

Jose Luis Avila is a Mental Health in Annandale, Virginia. Jose Luis Avila practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jose Luis Avila is 1194789545. The last update date is 2011-05-19.

Jose Luis Avila's current location address is 4946 Schuyler Dr, Annandale, Virginia. You can contact this provider via phone number 5712823903 and fax number 5712823903. The mailing address for Jose Luis Avila is 4946 Schuyler Dr, Annandale, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jose Luis Avila
Address 4946 Schuyler Dr, Annandale, Virginia
Phone Number 5712823903
Fax Number 5712823903
Sole Proprietor Y
Credentials L.P.C.,.

NPI Number Detail

NPI Number 1194789545
Provider Enumeration Date 2006-04-13
Last Updated Date 2011-05-19

Provider Mailing Address Detail

Address 4946 Schuyler Dr
City Annandale
State Virginia (VA)
Post Code 220035144
Phone Number 5712823903
Fax Number 5712823903

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 701002091
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
83518 VA VALUE OPTIONS
31390 VA AETNA
7278061 VA AETNA
541598045 VA APS
1194789545 VA --

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FAQs about Jose Luis Avila

What is the unique identifier code issued to Jose Luis Avila by the Centers for Medicare & Medicaid Services?

The Jose Luis Avila has been assigned the NPI (National Provider Identifier) 1194789545. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Jose Luis Avila's physical address?

The Jose Luis Avila is physically located at 4946 Schuyler Dr, in the city of Annandale, VA, with the postal code 220035144.

What is Jose Luis Avila's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jose Luis Avila is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.

On what date did Jose Luis Avila receive its 1194789545 assignment from the Centers for Medicare & Medicaid Services?

The Jose Luis Avila was assigned its 1194789545 on 2006-04-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jose Luis Avila, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jose Luis Avila, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-05-19.

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