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GRACE KOREAN CHURCH
NPI 1326644584
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fairfax, VA

Active since December 11, 2020
10560 MAIN ST STE 207, FAIRFAX, VA 22030(202) 295-7069 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 17, 2024, Dec 11, 2020 (2 updates tracked since 2020).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About GRACE KOREAN CHURCH

This page provides the complete NPI Profile along with additional information for Grace Korean Church, a provider established in Fairfax, 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 1326644584 assigned on December 2020. 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 Takhyun Cho Phd, Lpc, Ncc (Director Of Counseling)

NPI
1326644584 Verify this NPI
Provider Name
GRACE KOREAN CHURCH
Entity Type
Organization
Location Address
10560 MAIN ST STE 207 FAIRFAX, VA 22030
Location Phone
(202) 295-7069
Mailing Address
10560 MAIN ST STE 207 FAIRFAX, VA 22030
Mailing Phone
(202) 295-7069
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2020
Last Update Date
05-17-2024
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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

TAKHYUN CHO PHD, LPC, NCC

Authorized Official Title
DIRECTOR OF COUNSELING
Authorized Official Phone
(202) 295-7069

Reviews for GRACE KOREAN CHURCH

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

DR. TAKHYUN CHO LPC
Counselor (Professional)
10560 MAIN ST STE 207
FAIRFAX, VA 22030
Fairfax City (202) 295-7069

Frequently Asked Questions

What is GRACE KOREAN CHURCH's NPI number?

The NPI number assigned to this healthcare provider is 1326644584, enumerated as an "organization" on December 11, 2020.

Where is the provider located?

The provider is located at 10560 MAIN ST STE 207 FAIRFAX, VA 22030 and the phone number is (202) 295-7069.

What is the provider's specialty?

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