Organization
ALTERNATIVE CREATIVE THERAPY
Active
Other names
Sandi Hodges
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDI GALE HODGES LPC (OWNER/THERAPIST)
(540) 484-6996
Entity
Organization
Contact information
Practice address
2600 OLD FRANKLIN TPKE, ROCKY MOUNT, VA 24151-5676
(540) 484-6996
(540) 484-6935
Mailing address
2600 OLD FRANKLIN TPKE, ROCKY MOUNT, VA 24151-5676
(540) 484-6996
(540) 484-6935
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
0701003548
VA
302R00000X
Health Maintenance Organization
Primary
0701003548
VA
305R00000X
Preferred Provider Organization
0701003548
VA
305S00000X
Point of Service
0701003548
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701003548
VIRGINIA STATE BOARD OF COUNSELING
VA
01
—
11526350
CAQH
VA
01
—
1332930
COMPSYCH
VA
01
—
1518643406
FAMIS
VA
01
—
1518943406
VIRGINIA PREMIER
VA
05
—
1518943406
—
VA
01
—
2117903
MAMIS
—
01
—
2190356
CIGNA
VA
01
—
247544
SOUTHEASTERN SERVICES
VA
01
—
4634562
SENTARA
VA
01
—
600059283
MEGELLAN
VA
01
—
62-02411
UNITED BEHAVIORAL
VA
Enumeration date
07/15/2008
Last updated
07/15/2008
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