Provider Demographics
NPI:1700950110
Name:THERAPEUTIC SOLUTIONS, LLC
Entity Type:Organization
Organization Name:THERAPEUTIC SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELIA
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:SMILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:703-494-4991
Mailing Address - Street 1:1346 OLD BRIDGE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2742
Mailing Address - Country:US
Mailing Address - Phone:703-494-4991
Mailing Address - Fax:703-490-9964
Practice Address - Street 1:1346 OLD BRIDGE RD. STE 200
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2485
Practice Address - Country:US
Practice Address - Phone:703-494-4991
Practice Address - Fax:703-490-9964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003454101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA177301OtherANTHEM
VAJ2680001OtherCAREFIRST
VA238333OtherKAISER
VA010179866Medicaid
VA537972000OtherMAGELLAN
VA1386746246OtherINDIVIDUAL NPI
VA7418169OtherUNKNOWN
VA3102506OtherMAMSI
VA530294OtherNCPPO