Alexandria Adolescent and Adult Therapy, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0904007238 Issued in VA

Legal business name

ALEXANDRIA ADOLESCENT AND ADULT THERAPY, INC.

Practice address

228 S Washington St
Suite 330
Alexandria, VA 22314-5408

Phone

(518) 483-5002

Fax

(571) 312-9526

NPI assigned

Jul 10, 2013

Last updated

Jul 10, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Bonnie Manuel, LCSW, CSOTPNPI 1013107408

Title

President

Phone

(518) 522-3628

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bonnie A Manuel, LCSW

  • Clinical Social Worker
  • Annandale, VA
  • NPI 1013107408
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1003257726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 WASHINGTON AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092319",
            "telephone_number": "518-522-3628",
            "fax_number": "571-312-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S WASHINGTON ST",
            "address_2": "SUITE 330",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145408",
            "telephone_number": "518-483-5002",
            "fax_number": "571-312-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA ADOLESCENT AND ADULT THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-522-3628",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, CSOTP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904007238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori P Alexander, MSPT, DPT
• Morgana Alexander
• Myrna B. Alexander, ED.D., LPC,LMFT,NCC,
• Patrick Alexandre
• Alexandria Billing LLC
• Alexandria Adult Primary Care LLC
• Alexandria Advanced Dentistry
• Alexandria Anesthesia Assoc, PLLC
• Alexandria Art Therapy, LLC
• Alexandria Associates in Dermatology, PC (Associates in Dermatology)

• Community/Behavioral Health Agency in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.