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Contact Information

BRAINIAC NEUROFEEDBACK COUNSELING AND COACHING
9327 RAVENSWORTH CT
MECHANICSVILLE, VA23116-8708
 Phone: 804-357-2483
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Sleep Medicine

2084S0012X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BRAINIAC NEUROFEEDBACK COUNSELING AND COACHING · (Female)

NPI # 1710631205
Status Active
Credentials
Entity Individual
Enumeration date 02/04/2022
Last updated 02/04/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA Other 0701002731 LICENSED PROFESSIONAL COUNSELOR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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