OrganizationActive
Awareness Lounge Counseling, LLC
NPI 1053135053 · Adult Mental Health Clinic/Center · Bristow, VA
Provider details
- NPI number
- 1053135053
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patricia Cisnero, Counselor(703) 470-7081
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
Practice location
9553 Ballagan Ct
Bristow, VA 20136-2700
Phone: (703) 470-7081
Approximate (ZIP-level) locationGet directions
Mailing address
9553 Ballagan Ct
Bristow, VA 20136-2700
Registry dates
- Enumerated
- 2024-11-14
- Last updated
- 2024-11-14
- Certified
- 2024-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.