| Obsidian Counseling And Wellness Center | |
|
6387 Center Dr Ste 19 Norfolk VA 23502-4109 | |
| (757) 453-3051 | |
| Not Available |
| Full Name | Obsidian Counseling And Wellness Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6387 Center Dr Ste 19, Norfolk, Virginia |
| Authorized Official Name and Position | Natasha Beckum (CHIEF EXECUTIVE OFFICER/LPC) |
| Authorized Official Contact | 7574533051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Obsidian Counseling And Wellness Center 857 George Washington Hwy N Unit 6991 Chesapeake VA 23323-1362 Ph: (757) 453-3051 | Obsidian Counseling And Wellness Center 6387 Center Dr Ste 19 Norfolk VA 23502-4109 Ph: (757) 453-3051 |
| NPI Number | 1508409152 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 04/02/2020 |
| Certification Date | 04/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508409152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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