AGNESCARE SERVICE SOLUTIONS, INC
NPI 1104672666
Clinic/Center - Mental Health (Including Community Mental Health Center) in Falls Church, VA

Active since April 25, 2024
7777 LEESBURG PIKE # 304, FALLS CHURCH, VA 22043(708) 497-0734 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About AGNESCARE SERVICE SOLUTIONS, INC

This page provides the complete NPI Profile along with additional information for Agnescare Service Solutions, Inc, a provider established in Falls Church, Virginia operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1104672666 assigned on April 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Stecy Ola Pmhnp (Ceo)

NPI
1104672666 Verify this NPI
Provider Name
AGNESCARE SERVICE SOLUTIONS, INC
Entity Type
Organization
Location Address
7777 LEESBURG PIKE # 304 FALLS CHURCH, VA 22043
Location Phone
(708) 497-0734
Mailing Address
2728 JOHN MILLS RD ADAMSTOWN, MD 21710
Mailing Phone
(708) 497-0734
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2024
Last Update Date
04-25-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STECY OLA PMHNP

Authorized Official Title
CEO
Authorized Official Phone
(708) 497-0734

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104672666, enumerated as an "organization" on April 25, 2024.

The provider is located at 7777 LEESBURG PIKE # 304 FALLS CHURCH, VA 22043 and the phone number is (708) 497-0734.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).