| Professional Therapeutic Services | |
|
2920 Mary Beth Ln Glen Allen VA 23060-7337 | |
| (804) 519-1064 | |
| Not Available |
| Full Name | Professional Therapeutic Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2920 Mary Beth Ln, Glen Allen, Virginia |
| Authorized Official Name and Position | Eliza Stokes (OWNER) |
| Authorized Official Contact | 8045191064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Therapeutic Services 2920 Mary Beth Ln Glen Allen VA 23060-7337 Ph: (804) 519-1064 | Professional Therapeutic Services 2920 Mary Beth Ln Glen Allen VA 23060-7337 Ph: (804) 519-1064 |
| NPI Number | 1033611397 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 03/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033611397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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