Symbiosis Mental Health and Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SYMBIOSIS MENTAL HEALTH AND WELLNESS, LLC

Practice address

3950 Chainbridge Rd
Ste 4
Fairfax, VA 22030

Phone

(843) 290-4389

NPI assigned

Feb 20, 2023

Last updated

Sep 21, 2023By 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

Adrienne Terese Iannazzo, LPCNPI 1316565062

Title

Provider

Phone

(571) 492-4351

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.

• Adrienne Terese Iannazzo

  • Counselor
  • Fairfax, VA
  • NPI 1316565062
  NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1356049365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 WILSON BLVD # 1138",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031920",
            "telephone_number": "571-492-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 CHAINBRIDGE RD",
            "address_2": "STE 4",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "843-290-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMBIOSIS MENTAL HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "IANNAZZO",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "TERESE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "571-492-4351",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.