Healthcare Provider Details

I. General information

NPI: 1982280103
Provider Name (Legal Business Name): SOBRIUS CURAE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 CLIFFVIEW ROAD
GALAX VA
24333
US

IV. Provider business mailing address

506 CLIFFVIEW ROAD
GALAX VA
24333
US

V. Phone/Fax

Practice location:
  • Phone: 276-601-2736
  • Fax: 276-618-7246
Mailing address:
  • Phone: 276-601-2736
  • Fax: 276-618-7246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: CHASITY LEIGH JOHNSON
Title or Position: DIRECTOR OF ADMISSIONS/BILLING
Credential: CSAC-S
Phone: 276-601-2736