Provider Demographics
NPI:1437977394
Name:EUPHORIA THERAPY SERVICES, PLLC
Entity type:Organization
Organization Name:EUPHORIA THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:315-664-1821
Mailing Address - Street 1:13318 CARMELLA CT
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-1033
Mailing Address - Country:US
Mailing Address - Phone:315-664-1821
Mailing Address - Fax:
Practice Address - Street 1:13318 CARMELLA CT
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-1033
Practice Address - Country:US
Practice Address - Phone:315-664-1821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY002262OtherMARRIAGE AND FAMILY THERAPY LICENSE
VA0717002133OtherMARRIAGE AND FAMILY THERAPY LICENSE