Healthcare Provider Details

I. General information

NPI: 1326835950
Provider Name (Legal Business Name): DR SONYA'S THERAPY GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 04/25/2025
Certification Date: 04/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N HOWARD ST STE R
SPOKANE WA
99201-0508
US

IV. Provider business mailing address

2106 HOLLOMAN RD
PLANT CITY FL
33567-3720
US

V. Phone/Fax

Practice location:
  • Phone: 813-405-7185
  • Fax:
Mailing address:
  • Phone: 813-405-7185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State

VIII. Authorized Official

Name: SONYA PATRICE RICHARDSON
Title or Position: OWNER
Credential: DR
Phone: 813-405-7185