Provider Demographics
NPI:1497452551
Name:PROJECT FREDA INC.
Entity Type:Organization
Organization Name:PROJECT FREDA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SURUJLALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-278-2781
Mailing Address - Street 1:11804 COLVIN LN
Mailing Address - Street 2:
Mailing Address - City:NOKESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20181-2346
Mailing Address - Country:US
Mailing Address - Phone:703-675-5361
Mailing Address - Fax:
Practice Address - Street 1:9255 CENTER ST
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-5567
Practice Address - Country:US
Practice Address - Phone:703-675-5361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty