VIRGINIA SUBSTANCE TREATMENT SERVICES
NPI 1477232189
Clinic/Center - Rehabilitation, Substance Use Disorder in Vienna, VA

Active since July 12, 2023
1880 HOWARD AVE STE 200, VIENNA, VA 22182(571) 354-5971 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 16, 2024, Jul 12, 2023 (2 updates tracked since 2023).

  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About VIRGINIA SUBSTANCE TREATMENT SERVICES

This page provides the complete NPI Profile along with additional information for Virginia Substance Treatment Services, a provider established in Vienna, Virginia operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1477232189 assigned on July 2023. The practitioner's primary taxonomy code is 261QR0405X. 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 Samar Lida Tehrani Lsatp (Ceo)

NPI
1477232189 Verify this NPI
Provider Name
VIRGINIA SUBSTANCE TREATMENT SERVICES
Entity Type
Organization
Location Address
1880 HOWARD AVE STE 200 VIENNA, VA 22182
Location Phone
(571) 354-5971
Mailing Address
2070 CHAIN BRIDGE RD STE 150 VIENNA, VA 22182
Mailing Phone
(571) 354-5971
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2023
Last Update Date
09-16-2024
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
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

SAMAR LIDA TEHRANI LSATP

Authorized Official Title
CEO
Authorized Official Phone
(571) 354-5971

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477232189, enumerated as an "organization" on July 12, 2023.

The provider is located at 1880 HOWARD AVE STE 200 VIENNA, VA 22182 and the phone number is (571) 354-5971.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.