| Release Wellness | |
|
4410 Claiborne Sq E Ste 334 Hampton VA 23666-2074 | |
| (757) 751-9508 | |
| (757) 210-4405 |
| Full Name | Release Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4410 Claiborne Sq E Ste 334, Hampton, Virginia |
| Authorized Official Name and Position | Clervett Nikiene Williams (OWNER, THERAPIST) |
| Authorized Official Contact | 8434416419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Release Wellness 40 Hard Wood Dr Hampton VA 23666-5656 Ph: (757) 751-9508 | Release Wellness 4410 Claiborne Sq E Ste 334 Hampton VA 23666-2074 Ph: (757) 751-9508 |
| NPI Number | 1700475845 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 01/13/2021 |
| Certification Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700475845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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