Pine Ridge Therapy Services PLLC

Organization Active NPI Clinical Social Worker · Troy, VA

NPI 1124656798 · NPPES record last updated Apr 3, 2020

Key facts

NPI
1124656798
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
PINE RIDGE THERAPY SERVICES PLLC
Practice address
5570 Richmond Rd Ste 203
Troy, VA 22974-4421
Phone
(304) 777-9384
NPI assigned
Mar 30, 2020
Organization subpart
No

Authorized official

Name
Laura Elizabeth Moyers, LCSW
Title
Clinician
Phone
(304) 777-9384

National Provider Directory

Locations

5570 Richmond Rd
Ste 203
Troy, VA 22974
Phone (304) 777-9384

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

5570 Richmond Rd Ste 203
Troy, VA 22974-4421

Mailing address

2285 Rose Hill Church LN
Charlottesville, VA 22902-7588
Phone (304) 777-9384

Other providers in Troy, VA

All providers in Troy, VA · Clinical Social Worker in Virginia

Sources for this page

Verify at the official NPI Registry.