Prosperity Eating Disorder and Wellness

NPI #1073048302 in Herndon, Virginia

Provider Information

NPI Number: 1073048302
Entity Type: Organization
Organization Name: Prosperity Eating Disorder and Wellness
Subpart: Yes (part of a larger organization)
Parent Organization: PROSPERITY EATING DISORDER AND WELLNESS
Primary Specialty: Counselor
Enumeration Date: Apr 24, 2017
Last Updated: Apr 24, 2017

Practice Location

Address: 1031 STERLING RD STE 203
City: Herndon
State: Virginia
ZIP Code: 20170-3873
Phone: (703) 446-5150

Authorized Official

Name: HEATHER BAKER, LCSW
Title: OWNER
Phone: (800) 863-7224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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