Strategic Therapy Associates
Organization Active NPI Community/Behavioral Health Agency · Halifax, VA
NPI 1376096594 · NPPES record last updated Oct 27, 2021
Key facts
- NPI
- 1376096594
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 014 (VA)
- Legal business name
- STRATEGIC THERAPY ASSOCIATES
- Practice address
- 5037 Halifax Rd Ste L7
Halifax, VA 24558-3243 - Phone
- (434) 237-9450
- NPI assigned
- Jul 25, 2016
- Organization subpart
- No
Authorized official
- Name
- George Blondino Jr.
- Title
- Owner
- Phone
- (434) 237-9450
Corporate family (same tax ID) 23
National Provider Directory
- Tax ID family
- Strategic Therapy Associates Inc
Locations
5037 Halifax Rd
Ste L7
Halifax, VA 24558
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 014 | VA | Yes |
Addresses
Primary practice location
5037 Halifax Rd Ste L7
Halifax, VA 24558-3243
Mailing address
108 Duncraig Dr
Lynchburg, VA 24502-3335
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164511911 | Medicaid | VA | |
| 1659464477 | Medicaid | VA |
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All providers in Halifax, VA · Community/Behavioral Health Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.