| Iliad Counseling Services Llc | |
|
4000 Edinburgh Ct Suffolk VA 23434-7055 | |
| (757) 774-8306 | |
| Not Available |
| Full Name | Iliad Counseling Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4000 Edinburgh Ct, Suffolk, Virginia |
| Authorized Official Name and Position | Traci Danielle Richards (OWNER) |
| Authorized Official Contact | 7575892973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iliad Counseling Services Llc 1024 Centerbrooke Lane Ste F #146 Suffolk VA 23434-8294 Ph: (757) 589-2973 | Iliad Counseling Services Llc 4000 Edinburgh Ct Suffolk VA 23434-7055 Ph: (757) 774-8306 |
| NPI Number | 1760213243 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760213243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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