Organization
ACTIVE VITALITY THERAPY SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE C STALLINGS LCSW (CEO/THERAPIST)
(912) 980-8691
Entity
Organization
Contact information
Practice address
221 LADYSMITH DR, STEPHENS CITY, VA 22655-3270
(912) 980-8691
Mailing address
221 LADYSMITH DR, STEPHENS CITY, VA 22655-3270
(912) 980-8691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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