VALLEY PRIMARY & BEHAVIORAL HEALTH CLINIC LLC
NPI 1043171523
Nurse Practitioner - Community Health in Manassas, VA

Q: What is Valley Primary & Behavioral Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Active since November 24, 2025

10625 MCCORMICK FARM DR, MANASSAS, VA 20110(571) 306-8614(202) 519-8044 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Valley Primary & Behavioral Health Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALLEY PRIMARY & BEHAVIORAL HEALTH CLINIC LLC (NPI 1043171523) is a healthcare organization registered as a community health in Manassas, Virginia and active in the NPI registry since November 2025. The organization lists Theresa Juana-kamanda, Owner, as its authorized official.

NPPES Registry Identity

NPI1043171523

Entity TypeOrganization

Primary Taxonomy363LC1500X

Legal Business NameVALLEY PRIMARY & BEHAVIORAL HEALTH CLINIC LLC

Location Address10625 MCCORMICK FARM DRManassas, VA 20110-6934

Mailing Address10625 Mccormick Farm DrManassas, VA 20110-6934 · (571) 306-8614 · Fax (202) 519-8044

Phone(571) 306-8614

Fax(202) 519-8044

Organization SubpartNo

Authorized OfficialTheresa Juana-kamandaOwner · (571) 306-8614

Enumeration DateNovember 24, 2025

NPPES CertifiedNovember 23, 2025

✔ NPI 1043171523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC1500X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

10625 MCCORMICK FARM DR, Manassas, VA 20110

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA JUANA-KAMANDA

Nurse Practitioner (Family)

10625 MCCORMICK FARM DR
MANASSAS, VA 20110

Manassas City (571) 306-8614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valley Primary & Behavioral Health Clinic LLC's NPI number?

The NPI number for Valley Primary & Behavioral Health Clinic LLC is 1043171523. It was assigned to this organization in the NPPES registry on November 24, 2025.

Where is Valley Primary & Behavioral Health Clinic LLC located?

Valley Primary & Behavioral Health Clinic LLC is located at 10625 Mccormick Farm Dr, Manassas, VA 20110. The listed phone number is (571) 306-8614.

What is Valley Primary & Behavioral Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

When was this NPI record last updated?

The NPPES record for Valley Primary & Behavioral Health Clinic LLC was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.