BRAINIAC NEUROFEEDBACK COUNSELING AND COACHING; NPI #1710631205

Contact Information

BRAINIAC NEUROFEEDBACK COUNSELING AND COACHING

9327 RAVENSWORTH CT
MECHANICSVILLE, VA 23116-8708

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

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NPI Profile & details for BRAINIAC NEUROFEEDBACK COUNSELING AND COACHING

NPI # 1710631205

LBN Legal business name BRAINIAC NEUROFEEDBACK COUNSELING AND COACHING

Authorized official CHERYL DESVERNINE - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/04/2022

Last updated 02/04/2022 - About 4 years ago

Identifiers

Other

0701002731

LICENSED PROFESSIONAL COUNSELOR

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BRAINIAC NEUROFEEDBACK COUNSELING AND COACHING

Contact Information

Specialty

Professional

Behavioral Neurology & Neuropsychiatry

Counselor

Mental Health

Sleep Medicine

NPI Profile & details for BRAINIAC NEUROFEEDBACK COUNSELING AND COACHING

Reviews for BRAINIAC NEUROFEEDBACK COUNSELING AND COACHING