| Conquering Obstacles With Ambitious Commitment & Healing, Llc | |
|
2005 Old Greenbrier Rd Ste 102 Chesapeake VA 23320-2649 | |
| (757) 550-1594 | |
| (757) 578-8244 |
| Full Name | Conquering Obstacles With Ambitious Commitment & Healing, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2005 Old Greenbrier Rd Ste 102, Chesapeake, Virginia |
| Authorized Official Name and Position | Shana Simmons (CEO/CLINICAL DIRECTOR) |
| Authorized Official Contact | 7577010762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conquering Obstacles With Ambitious Commitment & Healing, Llc 1216 Granby St Ste 206 Norfolk VA 23510-2622 Ph: (757) 550-1594 | Conquering Obstacles With Ambitious Commitment & Healing, Llc 2005 Old Greenbrier Rd Ste 102 Chesapeake VA 23320-2649 Ph: (757) 550-1594 |
| NPI Number | 1497360465 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 08/07/2021 |
| Certification Date | 08/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497360465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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