Elemental Expressive Arts Llc | |
1601 Countryside Dr Ringgold VA 24586-4417 | |
(757) 524-1357 | |
(757) 296-0837 |
Full Name | Elemental Expressive Arts Llc |
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Speciality | Counselor - Professional |
Location | 1601 Countryside Dr, Ringgold, Virginia |
Authorized Official Name and Position | Sarah D Penston (OWNER) |
Authorized Official Contact | 7575241357 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elemental Expressive Arts Llc 8227 Old Ocean View Rd Norfolk VA 23518-2748 Ph: (757) 434-2644 | Elemental Expressive Arts Llc 1601 Countryside Dr Ringgold VA 24586-4417 Ph: (757) 524-1357 |
NPI Number | 1548090897 |
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Provider Enumeration Date | 08/02/2024 |
Last Update Date | 08/02/2024 |
Certification Date | 08/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548090897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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