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General NPI Number Information
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NPI Number | 1700950110
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC SOLUTIONS, LLC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 09/04/2014
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Provider Practice Location Address
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Address Line | 1346 OLD BRIDGE RD. STE 200
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2485
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Country | US
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Telephone | 703-494-4991
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Fax | 703-490-9964
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Provider Business Mailing Address
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Address Line | 1346 OLD BRIDGE RD STE 200
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2742
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Country | US
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Telephone | 703-494-4991
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Fax | 703-490-9964
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANGELIA LYNETTE SMILEY
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Credential | MA, LPC
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Telephone | 703-494-4991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701003454
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License Number State | VA
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