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General NPI Number Information
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NPI Number | 1912496340
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Entity Type | Organization
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Legal Business Name | STRATEGIC THERAPY ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 6 WALL ST
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City | MARTINSVILLE
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State | VA
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Zip | 24112-2700
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Country | US
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Telephone | 276-258-6707
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Fax | 434-237-9454
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Provider Business Mailing Address
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Address Line | 108 DUNCRAIG DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-3335
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Country | US
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Telephone | 434-473-6955
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Fax | 434-237-9454
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Authorized Official
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Title or Position | QUALITY ASSURANCE DIRECTOR
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Name | STEPHANIE NICOLE JOHNSON
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Credential |
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Telephone | 434-473-6955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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