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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

NPI # 1902133218
LBN Legal business name ADVANTAGE THERAPY CENTER
Authorized official HOANG RODGERS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2009
Last updated 11/06/2009 - About 17 years ago
Identifiers
VA License # 0710000893
VA License # 0717000800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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