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BROOKSIDE FAMILY THERAPY, LLC
NPI 1477323152
Counselor - Mental Health in Manassas Park, VA

Active since January 04, 2024
9105A OWENS DR STE 102, MANASSAS PARK, VA 20111(571) 445-0265(855) 755-7769 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookside Family Therapy, Llc NPPES

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

BROOKSIDE FAMILY THERAPY, LLC (NPI 1477323152) is a healthcare organization registered as a mental health in Manassas Park, Virginia and active in the NPI registry since January 2024. The organization lists Kelly Austin, Owner, as its authorized official.

NPPES Registry Identity

NPI1477323152
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBROOKSIDE FAMILY THERAPY, LLC
Location Address9105A OWENS DR STE 102Manassas Park, VA 20111-4852
Mailing Address7118 Knotty Oak LnManassas, VA 20112-3235
Phone(571) 445-0265
Fax(855) 755-7769
Organization SubpartNo
Authorized OfficialKelly AustinOwner · (571) 331-9704
Enumeration DateJanuary 4, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1477323152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
9105A OWENS DR STE 102, Manassas Park, VA 20111
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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 4

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

DESHIA ADUBOFOUR
Marriage & Family Therapist
9105A OWENS DR STE 102
MANASSAS PARK, VA 20111
Manassas Park City (571) 445-0265
KELLY AUSTIN LMFT
Marriage & Family Therapist
9105A OWENS DR STE 102
MANASSAS PARK, VA 20111
Manassas Park City (571) 331-9704
LEA HAMILL
Counselor (Mental Health)
9105A OWENS DR STE 102
MANASSAS PARK, VA 20111
Manassas Park City (571) 445-0265
TIA S COLEMAN
Counselor (Professional)
9105A OWENS DR STE 102
MANASSAS PARK, VA 20111
Manassas Park City (571) 445-0265

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 Brookside Family Therapy, LLC's NPI number?

The NPI number for Brookside Family Therapy, LLC is 1477323152. It was assigned to this organization in the NPPES registry on January 4, 2024.

Where is Brookside Family Therapy, LLC located?

Brookside Family Therapy, LLC is located at 9105A Owens Dr Ste 102, Manassas Park, VA 20111. The listed phone number is (571) 445-0265.

What is Brookside Family Therapy, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Brookside Family Therapy, LLC was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.