| Replay Counseling Center, Llc | |
|
555 Southlake Blvd North Chesterfield VA 23236-3060 | |
| (804) 516-4684 | |
| Not Available |
| Full Name | Replay Counseling Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 555 Southlake Blvd, North Chesterfield, Virginia |
| Authorized Official Name and Position | Nikole R Jiggetts (PRESIDENT/THERAPIST) |
| Authorized Official Contact | 8045164684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Replay Counseling Center, Llc Po Box 5715 Midlothian VA 23112-0030 Ph: () - | Replay Counseling Center, Llc 555 Southlake Blvd North Chesterfield VA 23236-3060 Ph: (804) 516-4684 |
| NPI Number | 1811236227 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 02/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811236227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904007173 (Virginia) | Primary |
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