Healthcare Provider Details

I. General information

NPI: 1326625260
Provider Name (Legal Business Name): DOGWOOD THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 10/26/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 NEFF AVE STE 104
HARRISONBURG VA
22801-3680
US

IV. Provider business mailing address

185 NEFF AVE STE 104
HARRISONBURG VA
22801-3680
US

V. Phone/Fax

Practice location:
  • Phone: 540-324-8777
  • Fax:
Mailing address:
  • Phone: 540-324-8777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SARAH KH CAMPBELL
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LPC
Phone: 540-250-1157