Organization
THERAPEUTIC ALLIANCE LLC
Active
Organization
THERAPEUTIC ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALKESH PATEL (CEO)
(703) 492-2686
Entity
Organization
Contact information
Practice address
7771 ASHTON AVE, MANASSAS, VA 20109-2879
(703) 492-2686
(866) 499-8840
Mailing address
PO BOX 71807, HENRICO, VA 23255-1807
(877) 794-2284
(804) 612-5201
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0701004701
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154005001
—
VA
Enumeration date
11/25/2013
Last updated
05/07/2020
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