WALSTON HEALTH SERVICES, LLC


Address: 6165 Fuller Ct, Suite 2, Alexandria, VA 22310-2541
Phone: 7039249810

WALSTON HEALTH SERVICES, LLC (NPI# 1023460912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023460912
Entity Type Organization
Organization Name WALSTON HEALTH SERVICES, LLC
Practice Address 6165 Fuller Ct
Suite 2
Alexandria
VA 22310-2541
Practice Telephone 7039249810
Practice Fax Number 7039247044
Mailing Telephone 7039249810
Mailing Fax Number 7039247044
Enumeration Date 2016-07-05
Last Update Date 2017-12-13
Authorized Official Name DR. TONYA WALSTON (PSYCHIATRIC NP)
Authorized Official Telephone 7039249810
Authorized Official Credential DNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
0024173415 VA Ambulatory Health Care Facilities

Office Location

Street Address 6165 FULLER CT
SUITE 2
City ALEXANDRIA
State VA
Zip Code 22310-2541

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487959045 Christine M Zanni Speech-Language Pathologist 6165 Fuller Ct, Alexandria, VA 22310-2541 2011-01-12
1265894745 Tonya L Walston Nurse Practitioner 6165 Fuller Ct, Suite 2, Alexandria, VA 22310-2541 2016-03-24
1821344433 Jiselle Amy Velazquez Community Health Worker 6165 Fuller Ct, Alexandria, VA 22310-2541 2012-08-01
1306124581 Cheryl Ann Schlitt Occupational Therapist 6165 Fuller Ct, Alexandria, VA 22310-2541 2011-07-22
1154619336 Fleming Speech Therapy Services, Inc. Clinic/Center 6165 Fuller Ct, Alexandria, VA 22310-2541 2011-07-21
1386939726 Jacie Amber Curry Speech-Language Pathologist 6165 Fuller Ct, Alexandria, VA 22310-2541 2011-06-14

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City ALEXANDRIA
Zip Code 22310

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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