Provider Demographics
NPI:1407497951
Name:CENTER FOR CLINICAL HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:CENTER FOR CLINICAL HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEHRNUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHEBI
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LMHP, LPC
Authorized Official - Phone:703-847-0000
Mailing Address - Street 1:7777 LEESBURG PIKE STE 307N
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2421
Mailing Address - Country:US
Mailing Address - Phone:703-847-0000
Mailing Address - Fax:
Practice Address - Street 1:8221 WILLOW OAKS CORPORATE DR # VA22031
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4512
Practice Address - Country:US
Practice Address - Phone:170-353-8320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-07
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1316267909Medicaid