Whalio Doctors

NPI 1033598982

Altitude Iop, LLC

Organisation Marriage & Family Therapist Blacksburg, VA

Practice location

Address
708 S Main St, Blacksburg, VA 24060-5210
Phone
(540) 953-5090
Fax
(540) 953-5095

Authorised official

Name
Karla Soukup
Title
Program Therapist
Phone
(540) 953-5090

Registered specialties (2)

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 0717001173 (VA)
Registered Dietitian
Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 953736 (VA)

Registry record

NPI
1033598982
Entity type
Organization
NPI issued
26 May 2015
Record last updated
26 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.