Organization
THERAPEUTIC INTERVENTION SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ADAMS (EXECUTIVE DIRECTOR/ OWNER)
(252) 258-4362
Entity
Organization
Contact information
Practice address
413 MOUNT CROSS RD STE 106, DANVILLE, VA 24540-4089
(252) 258-4783
Mailing address
413 MOUNT CROSS RD STE 106, DANVILLE, VA 24540-4089
(252) 258-4783
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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