Organization
PRO-THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANIKKA L MASON LCSW (CHIEF CLINICAL OFFICER)
(804) 721-3306
Entity
Organization
Contact information
Practice address
3316 LONGSTREET DR, PETERSBURG, VA 23805-2641
(804) 721-3306
Mailing address
PO BOX 3405, GLEN ALLEN, VA 23058-3405
(804) 721-3306
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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