Provider Demographics
NPI:1255099487
Name:APGTHERAPY, LLC
Entity type:Organization
Organization Name:APGTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:PAULA
Authorized Official - Last Name:GONCALVES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:703-977-2215
Mailing Address - Street 1:44121 HARRY BYRD HWY STE 240
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5668
Mailing Address - Country:US
Mailing Address - Phone:703-977-2215
Mailing Address - Fax:571-410-0218
Practice Address - Street 1:44121 HARRY BYRD HWY STE 240
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5668
Practice Address - Country:US
Practice Address - Phone:703-977-2215
Practice Address - Fax:571-410-0218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-05
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)