Brookside Family Therapy, LLC
NPI #1477323152 in Manassas Park, Virginia
Provider Information
- NPI Number
- 1477323152
- Entity Type
- Organization
- Organization Name
- Brookside Family Therapy, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 4, 2024
- Last Updated
- Jan 4, 2024
Practice Location
- Address
- 9105A OWENS DR STE 102
- City
- Manassas Park
- State
- Virginia
- ZIP Code
- 20111-4852
- Phone
- (571) 445-0265
Authorized Official
- Name
- KELLY AUSTIN, LMFT
- Title
- OWNER
- Phone
- (571) 331-9704
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Marriage & Family Therapist |
| Counselor - Mental Health — Mental Health |
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