Provider Demographics
NPI:1922165299
Name:PARKLAND HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:PARKLAND HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PILOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-299-6639
Mailing Address - Street 1:PO BOX 19875
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22320-0875
Mailing Address - Country:US
Mailing Address - Phone:703-299-6639
Mailing Address - Fax:
Practice Address - Street 1:312 S WASHINGTON ST
Practice Address - Street 2:2B
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3684
Practice Address - Country:US
Practice Address - Phone:703-299-6639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty