MS. REEN HAYES LYDDANE (NPI# 1437407343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437407343 |
| Entity Type | Individual |
| Full Name | MS. REEN HAYES LYDDANE |
| Credential | LPC & LMFT |
| Practice Address |
2110 A Gallows Road Vienna VA 22182 |
| Mailing Address |
8204 Galahad Court Annandale VA 22003 |
| Practice Telephone | 7038648371 |
| Mailing Telephone | 7038648371 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701002421 | VA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 0717700777 | Behavioral Health & Social Service Providers |
| Street Address |
2110 A GALLOWS ROAD |
| City | VIENNA |
| State | VA |
| Zip Code | 22182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1063930816 | Hira Sarwar | Speech-Language Pathologist | 8229 Boone Blvd Suite 660, Vienna, VA 22182 | 2017-08-31 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1578923165 | Nina Sanjay Vani | Physical Therapist | 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 | 2016-02-25 |
| 1023489119 | Camille Eunice Abelardo | Physical Therapist | 8206 Leesburg Pike Ste 403, Vienna, VA 22182 | 2015-10-14 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1215306915 | Mauricio Colomo | Dentist | 8304-c Old Corthouse Rd, Tyson'scorner Dental Art Center, Vienna, VA 22182 | 2015-09-23 |
| 1992133037 | Pediatric Therapy Studio | Speech-Language Pathologist | 8227 Old - Courthouse Rd #115, Vienna, VA 22182 | 2013-10-29 |
| Find all providers in zip 22182 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180091 | Jill W. Bianco | Counselor | 131 Park St Ne Ste 8f, Vienna, VA 22180-4642 | 2019-12-01 |
| 1508402066 | Jee Young Suk | Counselor | 1952 Gallows Rd Ste 210, Vienna, VA 22182-3823 | 2019-11-20 |
| 1427608124 | Bridge To Wellness Centers, LLC | Counselor | 1934 Old Gallows Rd Ste 360, Vienna, VA 22182-4040 | 2019-09-13 |
| 1730670506 | Jewell Miriam Gibbs | Counselor | 501 Church St Ne Ste 208, Vienna, VA 22180-4734 | 2018-05-28 |
| 1932644671 | Bruce Manise | Counselor | 131 Park St Ne # 8, Vienna, VA 22180-4641 | 2017-01-05 |
| 1578992210 | Matthew George Neverusky | Counselor | 7970 Vigne Ct, Vienna, VA 22182-4052 | 2013-11-04 |
| 1568729226 | Linda Carol Padgett | Counselor | 1013 Mountfort Ct Sw, Vienna, VA 22180-6469 | 2012-04-19 |
| 1528269438 | Kelly Lutrell Stephenson | Counselor | 8227 Old Courthouse Rd Ste 215, Vienna, VA 22182-3815 | 2007-05-29 |
| 1477672764 | Robert Christopher Brown | Counselor | 8925 Leesburg Pike, Vienna, VA 22182-1742 | 2007-03-28 |
| 1245366772 | Ominis Integrative Counseling & Wellness Center | Counselor | 8300 Boone Blvd, Suite 507, Vienna, VA 22182-2626 | 2007-02-26 |
| Find all providers in VIENNA | ||||
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| 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.