National Provider Identifier Database

ADVANTAGE THERAPY CENTER
Professional


Contact Information

ADVANTAGE THERAPY CENTER
9352 BIRCHFIELD WAY
LORTON, VA22079-3440
Phone: 703-409-6258
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Addiction (Substance Use Disorder) 101YA0400X
Marriage & Family Therapist 106H00000X

* Indicates primary specialty

NPI Profile & details for ADVANTAGE THERAPY CENTER

NPI Number 1902133218
Legal business name
LBN
ADVANTAGE THERAPY CENTER
Authorized official HOANG RODGERS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/06/2009
Last updated 11/06/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0710000893
  • VA License #: 0717000800

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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