Provider Demographics
NPI:1538635909
Name:THERAPY CONNECTIONS LLC
Entity Type:Organization
Organization Name:THERAPY CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:VELAZCO-WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-244-0677
Mailing Address - Street 1:10560 MAIN ST STE PH4
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-7115
Mailing Address - Country:US
Mailing Address - Phone:703-940-5140
Mailing Address - Fax:
Practice Address - Street 1:10560 MAIN ST STE PH4
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7115
Practice Address - Country:US
Practice Address - Phone:703-940-5140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-23
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty