Omni Addiction Services | |
102 E Hicks St Ste 101 Lawrenceville VA 23868-1830 | |
(434) 253-5617 | |
Not Available |
Full Name | Omni Addiction Services |
---|---|
Speciality | Counselor - Professional |
Location | 102 E Hicks St Ste 101, Lawrenceville, Virginia |
Authorized Official Name and Position | Lateshia Ann Gilliam (OWNER) |
Authorized Official Contact | 4345322001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Omni Addiction Services 199 Morris Town Cir La Crosse VA 23950-2054 Ph: (434) 532-2001 | Omni Addiction Services 102 E Hicks St Ste 101 Lawrenceville VA 23868-1830 Ph: (434) 253-5617 |
NPI Number | 1568176717 |
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Provider Enumeration Date | 01/12/2023 |
Last Update Date | 01/12/2023 |
Certification Date | 08/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568176717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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