OrganizationActive
A Balanced Approach to Behavioral & Mental Health
NPI 1285329839 · Psychiatric/Mental Health Nurse Practitioner · Alexandria, VA
Provider details
- NPI number
- 1285329839
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kimmala Roundtree, Psychiatric Nurse Practitioner(703) 216-1812
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
1727 King St Ste 3
Alexandria, VA 22314-2700
Phone: (571) 695-2386
Fax: (571) 695-2252
Approximate (ZIP-level) locationGet directions
Mailing address
1727 King St Ste 3
Alexandria, VA 22314-2700
Registry dates
- Enumerated
- 2023-04-10
- Last updated
- 2023-09-26
- Certified
- 2023-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.