| Supportive Therapeutic Options, Llc | |
|
43 Rives Road East Wing, Suite B Petersburg VA 23805 | |
| (571) 455-9803 | |
| Not Available |
| Full Name | Supportive Therapeutic Options, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 43 Rives Road, Petersburg, Virginia |
| Authorized Official Name and Position | Dominic Jones (CEO) |
| Authorized Official Contact | 5714559803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Therapeutic Options, Llc 9404 Smokey Bear Ct Bristow VA 20136-1198 Ph: () - | Supportive Therapeutic Options, Llc 43 Rives Road East Wing, Suite B Petersburg VA 23805 Ph: (571) 455-9803 |
| NPI Number | 1942909320 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942909320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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