Provider Demographics
NPI:1275341265
Name:AEP THERAPEUTIC SOLUTIONS LLC.
Entity type:Organization
Organization Name:AEP THERAPEUTIC SOLUTIONS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JASHANDA
Authorized Official - Middle Name:REE
Authorized Official - Last Name:POE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC-R
Authorized Official - Phone:540-656-9787
Mailing Address - Street 1:4910 ALLERTOW RD APT 2001
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-3002
Mailing Address - Country:US
Mailing Address - Phone:540-656-9787
Mailing Address - Fax:
Practice Address - Street 1:4910 ALLERTOW RD APT 2001
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-3002
Practice Address - Country:US
Practice Address - Phone:540-656-9787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-21
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty