| Color Purple Counseling Llc | |
|
2 Lafayette St Stafford VA 22554-7699 | |
| (540) 658-2820 | |
| Not Available |
| Full Name | Color Purple Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2 Lafayette St, Stafford, Virginia |
| Authorized Official Name and Position | Shakoya Hicks (OWNER) |
| Authorized Official Contact | 5402265733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Color Purple Counseling Llc 2769 Jefferson Davis Hwy Ste 111 Stafford VA 22554-8326 Ph: () - | Color Purple Counseling Llc 2 Lafayette St Stafford VA 22554-7699 Ph: (540) 658-2820 |
| NPI Number | 1972278323 |
|---|---|
| Provider Enumeration Date | 08/09/2021 |
| Last Update Date | 08/09/2021 |
| Certification Date | 08/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972278323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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