Fountain Of Life Llc is a Clinical - Psychology Clinic in Falls Church, Virginia. It is located at 450 W Broad St Ste 211, Falls Church, VA and its contact number is 571-277-4919. The authorized person for Fountain Of Life Llc is Dr. Lisa Klewicki
who is Clinical Psychologist of the clinic and his/her contact number is 571-277-4919. The primary license number for Fountain Of Life Llc is 0810002980 (Clinical) in Virginia. Fountain Of Life Llc Clinic has mental health professionals specialized in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Psychologists main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that psychologists can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Clinic Profile:
Fountain Of Life Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fountain Of Life Llc
Specialization:
Clinical Psychology
Clinic Address:
450 W Broad St Ste 211, Falls Church, Virginia, 22046-3318
Phone:
571-277-4919
Fax:
703-241-1122
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:
Dr. Lisa Klewicki
Position:
Clinical Psychologist
Contact Number:
571-277-4919
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 Fountain Of Life Llc clinic are as mentioned below.
NPI Number:
1396286019
NPI Enumeration Date:
14 Mar, 2017
NPI Last Update On:
14 Mar, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fountain Of Life Llc are as mentioned below.
Specialization
License Number
State
Status
Clinical
0810002980
Virginia
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fountain Of Life Llc 450 W Broad St Ste 211, Falls Church, Virginia
Zip:
22046-3318
Phone Number:
571-277-4919
Fax Number:
703-241-1122
Patients can reach Fountain Of Life Llc at 450 W Broad St Ste 211, Falls Church, Virginia or can call to book an appointment on 571-277-4919. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.