Provider Demographics
NPI:1508548637
Name:SUPPORTIVE SOLUTIONS AND PSYCHOTHERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:SUPPORTIVE SOLUTIONS AND PSYCHOTHERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED THERAPIST, BOARD CERTIFIED
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CSOTP
Authorized Official - Phone:423-900-3748
Mailing Address - Street 1:PO BOX 366
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:VA
Mailing Address - Zip Code:24236-0366
Mailing Address - Country:US
Mailing Address - Phone:423-900-3748
Mailing Address - Fax:
Practice Address - Street 1:966 W MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2483
Practice Address - Country:US
Practice Address - Phone:423-900-3748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty