Provider Demographics
NPI:1356497648
Name:ADDVANTAGE, PLLC
Entity Type:Organization
Organization Name:ADDVANTAGE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTNIK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:804-282-9989
Mailing Address - Street 1:6722 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3400
Mailing Address - Country:US
Mailing Address - Phone:804-282-9989
Mailing Address - Fax:804-282-9930
Practice Address - Street 1:6722 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3400
Practice Address - Country:US
Practice Address - Phone:804-282-9989
Practice Address - Fax:804-282-9930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001045103TC0700X
VA0810003023103TC0700X
VA0803000196103TS0200X
VA09040016081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty