| Lorien Wilder Lcsw Llc | |
|
9844 Lori Road Suite 102 Chesterfield VA 23832 | |
| (804) 426-3728 | |
| Not Available |
| Full Name | Lorien Wilder Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9844 Lori Road Suite 102, Chesterfield, Virginia |
| Authorized Official Name and Position | Melissa Lorien Wilder (OWNER) |
| Authorized Official Contact | 8044263728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorien Wilder Lcsw Llc Po Box 13013 Richmond VA 23225 Ph: () - | Lorien Wilder Lcsw Llc 9844 Lori Road Suite 102 Chesterfield VA 23832 Ph: (804) 426-3728 |
| NPI Number | 1467934828 |
|---|---|
| Provider Enumeration Date | 09/03/2018 |
| Last Update Date | 09/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467934828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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