| Phases Therapy, Inc. | |
|
3330 Bourbon St Ste 112 Fredericksburg VA 22408-7333 | |
| (540) 416-2850 | |
| Not Available |
| Full Name | Phases Therapy, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3330 Bourbon St Ste 112, Fredericksburg, Virginia |
| Authorized Official Name and Position | Kat Devereaux (LPC) |
| Authorized Official Contact | 5404162850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phases Therapy, Inc. 3330 Bourbon St Ste 112 Fredericksburg VA 22408-7333 Ph: (540) 416-2850 | Phases Therapy, Inc. 3330 Bourbon St Ste 112 Fredericksburg VA 22408-7333 Ph: (540) 416-2850 |
| NPI Number | 1750059044 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750059044 | NPI | - | NPPES |
| 1215513353 | Other | VA | NPI TYPE 1 |
| VA0701010324 | Other | VA | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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