Reevolve

NPI #1356881908 in Ashburn, Virginia

Provider Information

NPI Number: 1356881908
Entity Type: Organization
Organization Name: Reevolve
Primary Specialty: Counselor
Enumeration Date: Mar 1, 2017
Last Updated: Mar 1, 2017

Practice Location

Address: 44121 HARRY BYRD HWY STE 170
City: Ashburn
State: Virginia
ZIP Code: 20147-5671
Phone: (703) 340-8936

Authorized Official

Name: GARNET NELSON
Title: DIRECTOR
Phone: (703) 340-8936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Pastoral — Pastoral	101YP1600X
Psychologist	103T00000X
Social Worker - Clinical — Clinical	1041C0700X
Marriage & Family Therapist	106H00000X

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