| Aspire Wellness & Prevention, Llc | |
|
11357 Nuckols Rd # 1047 Glen Allen VA 23059-5504 | |
| (404) 406-6307 | |
| Not Available |
| Full Name | Aspire Wellness & Prevention, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11357 Nuckols Rd # 1047, Glen Allen, Virginia |
| Authorized Official Name and Position | Calvena Winston (MANAGER) |
| Authorized Official Contact | 4044066307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Wellness & Prevention, Llc 11357 Nuckols Rd # 1047 Glen Allen VA 23059-5504 Ph: () - | Aspire Wellness & Prevention, Llc 11357 Nuckols Rd # 1047 Glen Allen VA 23059-5504 Ph: (404) 406-6307 |
| NPI Number | 1508496399 |
|---|---|
| Provider Enumeration Date | 01/21/2020 |
| Last Update Date | 01/21/2020 |
| Certification Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508496399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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