Activv Manassas

Organization Active NPI Mental Health Counselor · Manassas, VA

NPI 1104781897 · NPPES record last updated Dec 16, 2025

Key facts

NPI
1104781897
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
ACTIVV MANASSAS
Practice address
10605 Gaskins Way
Manassas, VA 20109-2371
Phone
(703) 966-5173
NPI assigned
Dec 16, 2025
Organization subpart
No

Authorized official

Name
Christopher Leibowitz, LCSW
Title
General Partner
Phone
(703) 966-5173

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

10605 Gaskins Way
Manassas, VA 20109
Phone (703) 966-5173

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

10605 Gaskins Way
Manassas, VA 20109-2371

Mailing address

10605 Gaskins Way
Manassas, VA 20109-2371

Other providers in Manassas, VA

All providers in Manassas, VA · Mental Health Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.