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Amber Dise Psychiatry and Wellness PLLC — NPI 1508608654, Lorton, VA | NPI Central

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NPI 1508608654

OrganizationActive

Amber Dise Psychiatry and Wellness PLLC

NPI 1508608654 · Community/Behavioral Health Agency · Lorton, VA

Provider details

NPI number: 1508608654
Entity type: Organization
Primary specialty: Community/Behavioral Health AgencyAgencies
Organization subpart: No
Authorized official: Amber Dise, Nurse Practitioner(571) 398-9278

Specialties & taxonomies

Community/Behavioral Health AgencyPrimary251S00000X
Agencies
Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Adolescent and Children Mental Health Clinic/Center261QM0855X
Ambulatory Health Care Facilities

Practice location

9524 Workhouse Rd Rm 402

Lorton, VA 22079-2641

Phone: (571) 398-9278

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

12572 Plymouth Ct

Woodbridge, VA 22192-2321

Registry dates

Enumerated: 2024-06-10
Last updated: 2024-06-10
Certified: 2024-06-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.