Provider Demographics
NPI:1326543026
Name:WORLD PSYCHOLOGICAL CONSULTING LLC
Entity Type:Organization
Organization Name:WORLD PSYCHOLOGICAL CONSULTING LLC
Other - Org Name:WPC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FLORIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:EZUI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:571-477-7657
Mailing Address - Street 1:PO BOX 2182
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20146-9082
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10195 MAIN ST STE O
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-3415
Practice Address - Country:US
Practice Address - Phone:571-477-7657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty