| Allstar Healthcare Staffing, Llc | |
|
2112 Executive Dr Ste B Hampton VA 23666-2402 | |
| (757) 608-1397 | |
| Not Available |
| Full Name | Allstar Healthcare Staffing, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2112 Executive Dr Ste B, Hampton, Virginia |
| Authorized Official Name and Position | Mattielou Gilliam (CEO) |
| Authorized Official Contact | 7576081397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allstar Healthcare Staffing, Llc 2112 Executive Dr Ste B Hampton VA 23666-2402 Ph: (757) 608-1397 | Allstar Healthcare Staffing, Llc 2112 Executive Dr Ste B Hampton VA 23666-2402 Ph: (757) 608-1397 |
| NPI Number | 1376380402 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376380402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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