SALUS VITA


Address: 1200 Braddock Pl Apt 212, Alexandria, VA 22314-1664
Phone: (256) 665-6098

SALUS VITA (NPI# 1275054033) 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) 1275054033
Entity Type Organization
Organization Name SALUS VITA
Practice Address 1200 Braddock Pl Apt 212
Alexandria
VA 22314-1664
Practice Telephone (256) 665-6098
Mailing Telephone 2566656098
Enumeration Date 2017-07-02
Last Update Date 2017-07-02
Authorized Official Name MS. GLORIA SAEZ (CEO/ LEAD THERAPIST)
Authorized Official Telephone 2566656098
Authorized Official Credential LICSW/ LCSW
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)
0904009738 VA Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Salus Vita LLC 1200 Braddock Pl Unit 602, Alexandria, Virginia 22314

Office Location

Street Address 1200 BRADDOCK PL APT 212
City ALEXANDRIA
State VA
Zip Code 22314-1664

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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 22314

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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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