Organization Name: | COUNSELING BLISS |
NPI Number: | 1033570197 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARCHANA DOGRA (OWNER) |
Mailing Address: | 9246b Mosby St Manassas |
State: | VA US |
Postal Code: | 201105038 |
Phone Number: | 5713581728 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2016 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810003295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |