Provider Demographics
NPI:1720858988
Name:SHIFT HAPPENS THERAPY SERVICES
Entity type:Organization
Organization Name:SHIFT HAPPENS THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DONOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:703-577-7946
Mailing Address - Street 1:5801 LEESBURG PIKE # 1054
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2301
Mailing Address - Country:US
Mailing Address - Phone:571-322-6987
Mailing Address - Fax:
Practice Address - Street 1:5801 LEESBURG PIKE # 1054
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2301
Practice Address - Country:US
Practice Address - Phone:571-322-6987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health