Provider Demographics
NPI:1033572789
Name:CENTER FOR VETERANS IN TRANSITION , LLC
Entity Type:Organization
Organization Name:CENTER FOR VETERANS IN TRANSITION , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPPALLA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:571-271-7289
Mailing Address - Street 1:12097 EDGEMERE CIR
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3260
Mailing Address - Country:US
Mailing Address - Phone:571-271-7284
Mailing Address - Fax:
Practice Address - Street 1:4708 WISCONSIN AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4624
Practice Address - Country:US
Practice Address - Phone:571-271-7284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14512101YP2500X
MDLC6275302R00000X
DCCACII1158302R00000X
VA0710102822302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No302R00000XManaged Care OrganizationsHealth Maintenance Organization