| Anew Living Llc | |
|
21206 Chesterfield Ave Ste B South Chesterfield VA 23803-1920 | |
| (804) 451-9939 | |
| Not Available |
| Full Name | Anew Living Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 21206 Chesterfield Ave Ste B, South Chesterfield, Virginia |
| Authorized Official Name and Position | Latoya L Green (CEO/PROGRAM DIRECTOR) |
| Authorized Official Contact | 8044519939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anew Living Llc 21206 Chesterfield Ave Ste B South Chesterfield VA 23803-1920 Ph: (804) 451-9939 | Anew Living Llc 21206 Chesterfield Ave Ste B South Chesterfield VA 23803-1920 Ph: (804) 451-9939 |
| NPI Number | 1144727389 |
|---|---|
| Provider Enumeration Date | 04/12/2018 |
| Last Update Date | 04/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144727389 | NPI | - | NPPES |
| 2989 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2989 (Virginia) | Primary |
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