OrganizationActive
Advantage Therapy Center
NPI 1902133218 · Professional Counselor · Lorton, VA
Provider details
- NPI number
- 1902133218
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Hoang Rodgers, Executive Director(540) 654-5113
- License
- 0710000893 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
9352 Birchfield Way
Lorton, VA 22079-3440
Phone: (703) 409-6258
Approximate (ZIP-level) locationGet directions
Mailing address
915 Lafayette Blvd # C
Fredericksburg, VA 22401-5667
Registry dates
- Enumerated
- 2009-11-06
- Last updated
- 2009-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.