| Holistic Healing For The Mind And Soul, Llc | |
|
46 Pine Dr White Stone VA 22578-2641 | |
| (804) 480-9104 | |
| Not Available |
| Full Name | Holistic Healing For The Mind And Soul, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 46 Pine Dr, White Stone, Virginia |
| Authorized Official Name and Position | Brooke Shanel Lee (LICENSE CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8044809104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Healing For The Mind And Soul, Llc 46 Pine Dr White Stone VA 22578-2641 Ph: (804) 480-9104 | Holistic Healing For The Mind And Soul, Llc 46 Pine Dr White Stone VA 22578-2641 Ph: (804) 480-9104 |
| NPI Number | 1265292841 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265292841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |