| Misery Lande Therapeutic Services | |
|
677 Tech Center Pkwy Apt 1420 Newport News VA 23606-1555 | |
| (757) 525-2697 | |
| Not Available |
| Full Name | Misery Lande Therapeutic Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 677 Tech Center Pkwy Apt 1420, Newport News, Virginia |
| Authorized Official Name and Position | Eboni Vinson (OWNER) |
| Authorized Official Contact | 7575252697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Misery Lande Therapeutic Services 677 Tech Center Pkwy Apt 1420 Newport News VA 23606-1555 Ph: (757) 525-2697 | Misery Lande Therapeutic Services 677 Tech Center Pkwy Apt 1420 Newport News VA 23606-1555 Ph: (757) 525-2697 |
| NPI Number | 1164005682 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164005682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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