| Grateful Beginnings Llc | |
|
11321 Walton Lake Rd Disputanta VA 23842-4510 | |
| (804) 930-3280 | |
| Not Available |
| Full Name | Grateful Beginnings Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11321 Walton Lake Rd, Disputanta, Virginia |
| Authorized Official Name and Position | Tyesha Shaw (PROGRAM DIRECTOR) |
| Authorized Official Contact | 8049303280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grateful Beginnings Llc 11321 Walton Lake Rd Disputanta VA 23842-4510 Ph: (804) 930-3280 | Grateful Beginnings Llc 11321 Walton Lake Rd Disputanta VA 23842-4510 Ph: (804) 930-3280 |
| NPI Number | 1184330821 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184330821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |