| Heal It In The Wild Llc | |
|
4004 Tin Roof Way Glen Allen VA 23059-8050 | |
| (804) 606-0716 | |
| Not Available |
| Full Name | Heal It In The Wild Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4004 Tin Roof Way, Glen Allen, Virginia |
| Authorized Official Name and Position | Ashley Fayak (CEO) |
| Authorized Official Contact | 7574343329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heal It In The Wild Llc 4004 Tin Roof Way Glen Allen VA 23059-8050 Ph: (804) 606-0716 | Heal It In The Wild Llc 4004 Tin Roof Way Glen Allen VA 23059-8050 Ph: (804) 606-0716 |
| NPI Number | 1023712528 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023712528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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