| Freshnubeginningsllc | |
|
4000 Solera Dr Midlothian VA 23113-4092 | |
| (804) 591-8671 | |
| (866) 622-7868 |
| Full Name | Freshnubeginningsllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4000 Solera Dr, Midlothian, Virginia |
| Authorized Official Name and Position | Tracey Denise Johnson-king (CO-OWNER) |
| Authorized Official Contact | 8045918671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freshnubeginningsllc 2308 Courthouse Rd North Chesterfield VA 23236-1739 Ph: (804) 591-8671 | Freshnubeginningsllc 4000 Solera Dr Midlothian VA 23113-4092 Ph: (804) 591-8671 |
| NPI Number | 1851171482 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851171482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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