Provider Demographics
NPI:1477342178
Name:ALANNA BETTS ART AND ART THERAPY LLC
Entity type:Organization
Organization Name:ALANNA BETTS ART AND ART THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BETTS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, ATR, PMH-C
Authorized Official - Phone:571-449-7012
Mailing Address - Street 1:1768 BUSINESS CENTER DR STE 360
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-5358
Mailing Address - Country:US
Mailing Address - Phone:571-449-7012
Mailing Address - Fax:
Practice Address - Street 1:1768 BUSINESS CENTER DR STE 360
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5358
Practice Address - Country:US
Practice Address - Phone:571-449-7012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health