| Prolific Counseling Group Llc. | |
|
601 Dinwiddie St Portsmouth VA 23704-3613 | |
| (757) 405-4201 | |
| Not Available |
| Full Name | Prolific Counseling Group Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 601 Dinwiddie St, Portsmouth, Virginia |
| Authorized Official Name and Position | Brentney Lason Williams (CEO) |
| Authorized Official Contact | 7574054201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prolific Counseling Group Llc. 601 Dinwiddie St Portsmouth VA 23704-3613 Ph: (757) 405-4201 | Prolific Counseling Group Llc. 601 Dinwiddie St Portsmouth VA 23704-3613 Ph: (757) 405-4201 |
| NPI Number | 1669028981 |
|---|---|
| Provider Enumeration Date | 08/13/2019 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669028981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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