| Rejuvenation And Wellness Counseling Services, Llc | |
|
14321 Winter Breeze Dr Ste 165 Midlothian VA 23113-2452 | |
| (804) 774-7063 | |
| (804) 774-7066 |
| Full Name | Rejuvenation And Wellness Counseling Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14321 Winter Breeze Dr Ste 165, Midlothian, Virginia |
| Authorized Official Name and Position | Tyler Sanelle Taylor (OWNER/MANAGER) |
| Authorized Official Contact | 8047747063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenation And Wellness Counseling Services, Llc 14321 Winter Breeze Dr Ste 165 Midlothian VA 23113-2452 Ph: (804) 774-7063 | Rejuvenation And Wellness Counseling Services, Llc 14321 Winter Breeze Dr Ste 165 Midlothian VA 23113-2452 Ph: (804) 774-7063 |
| NPI Number | 1366193666 |
|---|---|
| Provider Enumeration Date | 01/18/2022 |
| Last Update Date | 01/18/2022 |
| Certification Date | 01/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366193666 | NPI | - | NPPES |
| 0904011823 | Other | VA | VIRGINIA BOARD OF SOCIAL WORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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