Pro-Therapy, LLC
NPI #1144069667 in Petersburg, Virginia
Provider Information
- NPI Number
- 1144069667
- Entity Type
- Organization
- Organization Name
- Pro-Therapy, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 23, 2024
- Last Updated
- May 23, 2024
Practice Location
- Address
- 3316 LONGSTREET DR
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-2641
- Phone
- (804) 721-3306
Authorized Official
- Name
- MRS. TANIKKA L MASON, LCSW
- Title
- CHIEF CLINICAL OFFICER
- Phone
- (804) 721-3306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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