| Active Vitality Therapy Solutions, Llc | |
|
221 Ladysmith Dr Stephens City VA 22655-3270 | |
| (912) 980-8691 | |
| Not Available |
| Full Name | Active Vitality Therapy Solutions, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 221 Ladysmith Dr, Stephens City, Virginia |
| Authorized Official Name and Position | Catherine C Stallings (CEO/THERAPIST) |
| Authorized Official Contact | 9129808691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Vitality Therapy Solutions, Llc 221 Ladysmith Dr Stephens City VA 22655-3270 Ph: (912) 980-8691 | Active Vitality Therapy Solutions, Llc 221 Ladysmith Dr Stephens City VA 22655-3270 Ph: (912) 980-8691 |
| NPI Number | 1881499630 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881499630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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