Provider Demographics
NPI:1962921973
Name:EL ROPHE PSYCHOLOGICAL SOLUTIONS, LLC
Entity type:Organization
Organization Name:EL ROPHE PSYCHOLOGICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURENCIA
Authorized Official - Middle Name:CDL
Authorized Official - Last Name:DUSANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:785-375-0375
Mailing Address - Street 1:5030 SPINNAKER LN
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-3160
Mailing Address - Country:US
Mailing Address - Phone:785-375-0375
Mailing Address - Fax:
Practice Address - Street 1:904 PRINCESS ANNE ST STE 402
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5804
Practice Address - Country:US
Practice Address - Phone:785-375-0375
Practice Address - Fax:785-375-0375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-12
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005067103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty