Healthcare Provider Details

I. General information

NPI: 1356497648
Provider Name (Legal Business Name): ADDVANTAGE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6722 PATTERSON AVE
RICHMOND VA
23226-3400
US

IV. Provider business mailing address

6722 PATTERSON AVE
RICHMOND VA
23226-3400
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-9989
  • Fax: 804-282-9930
Mailing address:
  • Phone: 804-282-9989
  • Fax: 804-282-9930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810001045
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810003023
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904001608
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number0803000196
License Number StateVA

VIII. Authorized Official

Name: DR. STEVEN BUTNIK
Title or Position: LICENSED CLINICAL PSYCHOLOGIST
Credential: PH.D.
Phone: 804-282-9989