Provider Demographics
NPI:1558969113
Name:LANDIS SERVICES, PLLC
Entity Type:Organization
Organization Name:LANDIS SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALAVANJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-938-4766
Mailing Address - Street 1:PO BOX 1062
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23705-1062
Mailing Address - Country:US
Mailing Address - Phone:757-301-1079
Mailing Address - Fax:
Practice Address - Street 1:355 CRAWFORD ST STE 333
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-2819
Practice Address - Country:US
Practice Address - Phone:757-301-1079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-15
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty