| Independence Child Therapy Services | |
|
215 Mclaws Cir Ste 1 Williamsburg VA 23185-5799 | |
| (757) 345-6428 | |
| Not Available |
| Full Name | Independence Child Therapy Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 215 Mclaws Cir Ste 1, Williamsburg, Virginia |
| Authorized Official Name and Position | Linda Bourdon (DIRECTOR) |
| Authorized Official Contact | 7573456428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Child Therapy Services 215 Mclaws Cir Ste 1 Williamsburg VA 23185-5799 Ph: (757) 345-6428 | Independence Child Therapy Services 215 Mclaws Cir Ste 1 Williamsburg VA 23185-5799 Ph: (757) 345-6428 |
| NPI Number | 1275921520 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 01/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275921520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0803000251 (Virginia) | Primary |
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