Provider Demographics
NPI:1306443619
Name:HELIANTHUS THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:HELIANTHUS THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:STORVICK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:540-446-1216
Mailing Address - Street 1:80 OAK TREE LN
Mailing Address - Street 2:
Mailing Address - City:BRIGHTWOOD
Mailing Address - State:VA
Mailing Address - Zip Code:22715-1780
Mailing Address - Country:US
Mailing Address - Phone:540-446-1216
Mailing Address - Fax:
Practice Address - Street 1:767 MADISON RD STE 112-114
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3379
Practice Address - Country:US
Practice Address - Phone:540-446-1216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty