Organization
ASSOCIATES IN BRIEF THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LINN MORTELLARO LPC, LMFT (CLINICAL DIRECTOR)
(540) 772-8043
Entity
Organization
Contact information
Practice address
4346 STARKEY RD, SUITE 1, ROANOKE, VA 24018-0605
(540) 772-8043
(540) 772-8242
Mailing address
4346 STARKEY RD, SUITE 1, ROANOKE, VA 24018-0605
(540) 772-8043
(540) 772-8242
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001496
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
285977
ANTHEM BCBS
VA
01
—
297608000
MAGELLAN HEALTH SERVICES
MO
01
—
343112
TRICARE HEALTHNET FEDERAL
SC
01
—
349980
MAMSI
MD
Enumeration date
11/29/2006
Last updated
05/08/2009
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