| Aunt Gwen's Place, Llc | |
|
147 Mill Ridge Rd Suite 131 Lynchburg VA 24502-4341 | |
| (434) 944-4782 | |
| Not Available |
| Full Name | Aunt Gwen's Place, Llc |
|---|---|
| Speciality | Counselor |
| Location | 147 Mill Ridge Rd, Lynchburg, Virginia |
| Authorized Official Name and Position | Dashia Womack (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4349444782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aunt Gwen's Place, Llc 147 Mill Ridge Rd Suite 131 Lynchburg VA 24502-4341 Ph: () - | Aunt Gwen's Place, Llc 147 Mill Ridge Rd Suite 131 Lynchburg VA 24502-4341 Ph: (434) 944-4782 |
| NPI Number | 1518221332 |
|---|---|
| Provider Enumeration Date | 06/26/2012 |
| Last Update Date | 06/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518221332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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