Psychotherapy & Polytrauma center – Mental Health Counselor, NPI 1104975903

Psychotherapy & Polytrauma center is a healthcare provider. based in Stafford, Virginia. specializing in Mental Health Counselor. The organization holds a License No. ID#20569-XXX117275 (DC). The NPI Number for Psychotherapy & Polytrauma center is 1104975903

Main info

Organization
Name
Psychotherapy & Polytrauma center
NPI
1104975903
Phone
(540) 657-8484
Address
2 IRVING CT
Authorized Official
MR. MATTHEW LEE JR. CEO OF CLINICAL MANAGEMENT MSW
Enumeration Date
9 January 2007
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness90
Years active:19State licenses:2Digital endpoints

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Provider Addresses for Psychotherapy & Polytrauma center

  • 2, Irving Court, Shelton's Run, Stafford County, Virginia, 22556, United States

    STAFFORD, VA 225566567

    Phone: (540) 657-8484

    Fax: (540) 657-8484

    Type: Mailing

  • Wisconsin Avenue, Chevy Chase Village, Montgomery County, Maryland, 20815, United States

    215B

    CHEVY CHASE, MD 208153530

    Phone: (877) 367-8479

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22556)

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Frequently asked questions

Is there an official ID for Psychotherapy & Polytrauma center in U.S. healthcare records?
The official identifier for Psychotherapy & Polytrauma center is NPI 1104975903.
Is there an active status for Psychotherapy & Polytrauma center?
For scheduling context, Psychotherapy & Polytrauma center is shown as active in the registry.
What clinical focus is listed for Psychotherapy & Polytrauma center?
At a glance, Psychotherapy & Polytrauma center is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is Psychotherapy & Polytrauma center associated with Stafford?
Public fields place Psychotherapy & Polytrauma center around Stafford, Virginia. Always confirm the exact site before visiting.
Does Psychotherapy & Polytrauma center accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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