Provider Demographics
NPI:1730191917
Name:SALVEO CONSULTING, PLLC
Entity type:Organization
Organization Name:SALVEO CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ILONA
Authorized Official - Middle Name:N
Authorized Official - Last Name:GRAVERS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:703-303-2855
Mailing Address - Street 1:PO BOX 710336
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:VA
Mailing Address - Zip Code:20171-0336
Mailing Address - Country:US
Mailing Address - Phone:703-303-2855
Mailing Address - Fax:703-464-0452
Practice Address - Street 1:8781 MATHIS AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-5273
Practice Address - Country:US
Practice Address - Phone:703-303-2855
Practice Address - Fax:703-464-0452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010242932Medicaid
VA190001384Medicare ID - Type Unspecified