=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982280103
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOBRIUS CURAE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/18/2021
-----------------------------------------------------
Last Update Date | 01/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 506 CLIFFVIEW ROAD
-----------------------------------------------------
City | GALAX
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24333
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-601-2736
-----------------------------------------------------
Fax | 276-618-7246
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 506 CLIFFVIEW ROAD
-----------------------------------------------------
City | GALAX
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24333
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-601-2736
-----------------------------------------------------
Fax | 276-618-7246
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF ADMISSIONS/BILLING
-----------------------------------------------------
Name | CHASITY LEIGH JOHNSON
-----------------------------------------------------
Credential | CSAC-S
-----------------------------------------------------
Telephone | 276-601-2736
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR0405X
-----------------------------------------------------
Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 324500000X
-----------------------------------------------------
Taxonomy Name | Substance Abuse Rehabilitation Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------