NPI 1144069667
Pro-Therapy, LLC
Practice location
- Address
- 3316 Longstreet Dr, Petersburg, VA 23805-2641
- Phone
- (804) 721-3306
- Mailing address
- PO Box 3405, Glen Allen, VA 23058-3405
Authorised official
- Name
- Tanikka L Mason
- Title
- Chief Clinical Officer
- Phone
- (804) 721-3306
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1144069667
- Entity type
- Organization
- NPI issued
- 23 May 2024
- Record last updated
- 23 May 2024
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.