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Organization
THERAPY CAFE LLC
Active
Organization
THERAPY CAFE LLC
Active
Other names
Therapy Cafe
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON STENSON (CFO)
(443) 295-8955
Entity
Organization
Contact information
Practice address
11166 FAIRFAX BLVD, SUITE 500 #1075, FAIRFAX, VA 22030-5017
(443) 295-8955
(888) 883-1589
Mailing address
35 DUKE ST UNIT 763, PRINCE FREDERICK, MD 20678-7528
(443) 295-8955
(888) 883-1589
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/11/2022
Last updated
11/20/2023
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