Provider Demographics
NPI:1629555420
Name:REACH AUT THERAPEUTICS LLC
Entity type:Organization
Organization Name:REACH AUT THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISRTATION & HR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAYED
Authorized Official - Middle Name:ALAM
Authorized Official - Last Name:SHINWARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-330-2882
Mailing Address - Street 1:6101 AFTON CT
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2633
Mailing Address - Country:US
Mailing Address - Phone:202-330-2882
Mailing Address - Fax:
Practice Address - Street 1:6101 AFTON CT
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2633
Practice Address - Country:US
Practice Address - Phone:202-330-2882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty