| Enlightened Counseling Services | |
|
2455 Cherry Blossom Dr Suffolk VA 23434-2179 | |
| (757) 285-7646 | |
| Not Available |
| Full Name | Enlightened Counseling Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2455 Cherry Blossom Dr, Suffolk, Virginia |
| Authorized Official Name and Position | Nicole Buckley (OWNER) |
| Authorized Official Contact | 7572857646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enlightened Counseling Services 2455 Cherry Blossom Dr Suffolk VA 23434-2179 Ph: (757) 285-7646 | Enlightened Counseling Services 2455 Cherry Blossom Dr Suffolk VA 23434-2179 Ph: (757) 285-7646 |
| NPI Number | 1427866649 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427866649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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