Healthcare Provider Details

I. General information

NPI: 1487519021
Provider Name (Legal Business Name): STOA THERAPY GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 BROWNS HILL CT
MIDLOTHIAN VA
23114-9510
US

IV. Provider business mailing address

2145 WOODFIELD RD
OKEMOS MI
48864-5224
US

V. Phone/Fax

Practice location:
  • Phone: 517-575-7143
  • Fax:
Mailing address:
  • Phone: 517-575-7143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. BELINDA MIDFORD
Title or Position: SOLE MEMBER
Credential: MD
Phone: 517-575-7143