Provider Demographics
NPI:1932812047
Name:CENTER FOR WOMEN'S PSYCHOTHERAPY LLC
Entity Type:Organization
Organization Name:CENTER FOR WOMEN'S PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:646-244-4546
Mailing Address - Street 1:2300 WILSON BLVD STE 755
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-5424
Mailing Address - Country:US
Mailing Address - Phone:646-244-4546
Mailing Address - Fax:
Practice Address - Street 1:2300 WILSON BLVD STE 755
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-5424
Practice Address - Country:US
Practice Address - Phone:646-244-4546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty