Samuel Bates, LMFT
Individual provider Active NPI Marriage & Family Therapist · Woodbridge, VA
NPI 1801677281 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1801677281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0717002027 (VA)
- Practice address
- 13000 Harbor Center Dr Ste 302
Woodbridge, VA 22192-2847 - Phone
- (703) 492-2994
- NPI assigned
- Oct 11, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0717002027 | VA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717002027 | VA | Yes |
Addresses
Primary practice location
13000 Harbor Center Dr Ste 302
Woodbridge, VA 22192-2847
Mailing address
13000 Harbor Center Dr Ste 302
Woodbridge, VA 22192-2847
Phone (703) 492-2994
Other providers in Woodbridge, VA
- Mauricio Dionisio Bas Jr.
- Sherry L Basham
- Dristi Basnet
- Stella Basoah
- Erdeneshagai Bat-Erdene
- Clementina F Battad
- Christina Bauer
- Krystal Bauman
- Justine Mae Bautista
- Fatima Samira Bayat
All providers in Woodbridge, VA · Marriage & Family Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.