Provider Demographics
NPI:1831821859
Name:FIGHT ON THERAPY PLLC
Entity type:Organization
Organization Name:FIGHT ON THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:LARGENT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-604-2976
Mailing Address - Street 1:3844 FORRESTER LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-2816
Mailing Address - Country:US
Mailing Address - Phone:757-689-7840
Mailing Address - Fax:
Practice Address - Street 1:3844 FORRESTER LN
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-2816
Practice Address - Country:US
Practice Address - Phone:757-689-7840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty