NPI 1033598982 · live from the CMS NPI Registry
Altitude Iop, LLC
Marriage & Family Therapist in Blacksburg, VA. National Provider Identifier 1033598982, active.
NPI record
| NPI | 1033598982 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 708 S Main St, Blacksburg, VA 24060 |
| Practice phone | 540-953-5090 |
| Enumerated | May 26, 2015 |
| Last updated | May 26, 2015 |
| Authorized official | Karla Soukup, Program Therapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 953736 (VA) |
| Marriage & Family Therapist primary | 106H00000X | 0717001173 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.