| Open Doors To Redefining Therapeutic And Consulting Services Llc | |
|
612 Sycamore Street Suite B Petersburg VA 23801 | |
| (804) 446-1461 | |
| Not Available |
| Full Name | Open Doors To Redefining Therapeutic And Consulting Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 612 Sycamore Street, Petersburg, Virginia |
| Authorized Official Name and Position | Britney Mitchell (OWNER) |
| Authorized Official Contact | 8046185074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Doors To Redefining Therapeutic And Consulting Services Llc Po Box 671 Prince George VA 23875-0600 Ph: (804) 613-5074 | Open Doors To Redefining Therapeutic And Consulting Services Llc 612 Sycamore Street Suite B Petersburg VA 23801 Ph: (804) 446-1461 |
| NPI Number | 1275273054 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 01/25/2023 |
| Certification Date | 01/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275273054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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