Provider Demographics
NPI:1073159380
Name:STRATEGIC THERAPY ASSOCIATES
Entity Type:Organization
Organization Name:STRATEGIC THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING & CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:TAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-219-5039
Mailing Address - Street 1:108 DUNCRAIG DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-3335
Mailing Address - Country:US
Mailing Address - Phone:434-219-5039
Mailing Address - Fax:
Practice Address - Street 1:66 TIMBEROAK CT
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-3459
Practice Address - Country:US
Practice Address - Phone:434-237-9450
Practice Address - Fax:434-237-9454
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STRATEGIC THERAPY ASSOCIATES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-21
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004948971Medicaid