| My All Therapy, Inc. | |
|
131 Old Brook Rd Ste C Vinton VA 24179-4301 | |
| (540) 797-9620 | |
| Not Available |
| Full Name | My All Therapy, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 131 Old Brook Rd Ste C, Vinton, Virginia |
| Authorized Official Name and Position | Tracie Michelle Etter (PRESIDENT/OWNER) |
| Authorized Official Contact | 5407979620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My All Therapy, Inc. 3353 Glade Creek Blvd Ne Apt 11 Roanoke VA 24012-8659 Ph: (540) 797-9620 | My All Therapy, Inc. 131 Old Brook Rd Ste C Vinton VA 24179-4301 Ph: (540) 797-9620 |
| NPI Number | 1568960128 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 01/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568960128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0904009900 (Virginia) | Primary |
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