# ALTITUDE IOP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033598982
- **Authorized official:** KARLA SOUKUP LMFT (PROGRAM THERAPIST)
- **Authorized official phone:** (540) 953-5090

## Contact information

- **Practice address:** 708 S MAIN ST, BLACKSBURG, VA 24060-5210
- **Practice address phone:** (540) 953-5090
- **Practice address fax:** (540) 953-5095
- **Mailing address:** 708 S MAIN ST, BLACKSBURG, VA 24060-5210
- **Mailing address phone:** (540) 953-5090
- **Mailing address fax:** (540) 953-5095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 0717001173 | VA | Yes |
| 133V00000X | Registered Dietitian | 953736 | VA | — |

## Other

- **Enumeration date:** 05/26/2015
- **Last updated:** 05/26/2015