Convergence Mental Performance And Preparation Lab
Counselor Clinic
4000 Legato Rd Ste 1100, Fairfax
Virginia, 22033-2893
571-336-2272 Maps & DirectionsConvergence Mental Performance And Preparation Lab is a Counselor Clinic in Fairfax, Virginia. It is located at 4000 Legato Rd Ste 1100, Fairfax, VA and its contact number is 571-336-2272. The authorized person for Convergence Mental Performance And Preparation Lab is Tawana Butler
who is Owner/ceo of the clinic and his/her contact number is 817-913-5428.
Convergence Mental Performance And Preparation Lab Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Convergence Mental Performance And Preparation Lab Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Convergence Mental Performance And Preparation Lab |
| Specialization: | Professional Counselor |
| Clinic Address: | 4000 Legato Rd Ste 1100, Fairfax,
Virginia, 22033-2893 |
| Phone: | 571-336-2272 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Tawana Butler |
| Position: | Owner/ceo |
| Contact Number: | 817-913-5428 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Convergence Mental Performance And Preparation Lab clinic are as mentioned below.
| NPI Number: | 1346015815 |
| NPI Enumeration Date: | 15 Nov, 2023 |
| NPI Last Update On: | 15 Nov, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Convergence Mental Performance And Preparation Lab are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinical | | | Primary | |
| Professional | | | Secondary | |
| Exercise & Sports | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Convergence Mental Performance And Preparation Lab
15000 Potomac Town Pl Ste 100-151,
Woodbridge, Virginia |
| Zip: | 22191-6586 |
| Phone Number: | 571-336-2272 |
Patients can reach Convergence Mental Performance And Preparation Lab at
4000 Legato Rd Ste 1100, Fairfax, Virginia or can
call to book an appointment on 571-336-2272.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.