| Consciousness Rising, Inc. | |
|
4919 Cypress Point Cir Virginia Beach VA 23455-6847 | |
| (757) 460-4655 | |
| (757) 460-7744 |
| Full Name | Consciousness Rising, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4919 Cypress Point Cir, Virginia Beach, Virginia |
| Authorized Official Name and Position | Donna Ashton Smith (PRESIDENT) |
| Authorized Official Contact | 7574604655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consciousness Rising, Inc. 4509 Whitechapel Dr Virginia Beach VA 23455-6447 Ph: (757) 460-4655 | Consciousness Rising, Inc. 4919 Cypress Point Cir Virginia Beach VA 23455-6847 Ph: (757) 460-4655 |
| NPI Number | 1265860308 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 10/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265860308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904006837 (Virginia) | Primary |
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