Organization
STRATEGIC THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BLONDINO JR. (OWNER)
(434) 237-9450
Entity
Organization
Contact information
Practice address
5037 HALIFAX RD STE L7, HALIFAX, VA 24558-3243
(434) 237-9450
Mailing address
108 DUNCRAIG DR, LYNCHBURG, VA 24502-3335
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
014
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164511911
—
VA
05
—
1659464477
—
VA
Enumeration date
07/25/2016
Last updated
10/27/2021
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