OBSIDIAN COUNSELING AND WELLNESS CENTER LLC NPI 1508409152

NPI Information

OBSIDIAN COUNSELING AND WELLNESS CENTER, LLC is a mental health (including community mental health center) clinic center in Norfolk, VA. OBSIDIAN COUNSELING AND WELLNESS CENTER, LLC NPI is 1508409152. The provider is registered as an organization entity type.
The provider Is Doing Business As Obsidian Counseling And Wellness Center.

The provider's business location address is:

6387 CENTER DR STE 19
NORFOLK, VA
ZIP 23502-109
Phone: (757) 453-3051

The provider's authorized official is Natasha Beckum .
The authorized official title is Chief Executive Officer/lpc and has the following contact phone number (757) 453-3051.

The enumeration date for this NPI number is 10/25/2019 and was last updated on 4/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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