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Contact Information

ADVANTAGE THERAPY CENTER
9352 BIRCHFIELD WAY
LORTON, VA22079-3440
 Phone: 703-409-6258
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for ADVANTAGE THERAPY CENTER · (Female)

NPI Number 1902133218
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2009
Last updated 11/06/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0710000893
  • VA License # 0717000800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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