| Salt & Light Llc | |
|
1021 Eden Way N Ste 118 Chesapeake VA 23320-2776 | |
| (757) 844-9809 | |
| Not Available |
| Full Name | Salt & Light Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1021 Eden Way N Ste 118, Chesapeake, Virginia |
| Authorized Official Name and Position | Tia Redman (OWNER/PRACTITIONER) |
| Authorized Official Contact | 7182130962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt & Light Llc 1021 Eden Way N Ste 118 Chesapeake VA 23320-2776 Ph: (757) 844-9809 | Salt & Light Llc 1021 Eden Way N Ste 118 Chesapeake VA 23320-2776 Ph: (757) 844-9809 |
| NPI Number | 1336944396 |
|---|---|
| Provider Enumeration Date | 02/14/2025 |
| Last Update Date | 02/14/2025 |
| Certification Date | 02/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336944396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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