Organization Name: | PROFESSIONAL ALTERNATIVES, PLC |
NPI Number: | 1083778039 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD EUGENE NOLLEY (PARTNER) |
Mailing Address: | 219 E Davis St Ste 310 Culpeper |
State: | VA US |
Postal Code: | 227013001 |
Phone Number: | 5408252788 |
Fax Number: | 5408251244 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 03/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904001123 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |