OrganizationActive
Brain Bloom Neurotherapy Center
NPI 1659113322 · Mental Health Clinic/Center (Including Community Mental Health Center) · Mc Lean, VA
Provider details
- NPI number
- 1659113322
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lauren Colletti, Office Administrator(703) 821-1073
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1303 Vincent Pl
Mc Lean, VA 22101-3615
Phone: (703) 821-1073
Approximate (ZIP-level) locationGet directions
Mailing address
1307 Vincent Pl
Mc Lean, VA 22101-3680
Registry dates
- Enumerated
- 2024-06-12
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.