| Spread Your Wings Supportive Counseling | |
|
4508 S Laburnum Ave Suite 100 Richmond VA 23231-2476 | |
| (804) 350-5336 | |
| Not Available |
| Full Name | Spread Your Wings Supportive Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4508 S Laburnum Ave, Richmond, Virginia |
| Authorized Official Name and Position | Mary Y Wingfield (A MANAGING MEMBER/ OWNER) |
| Authorized Official Contact | 8043505336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spread Your Wings Supportive Counseling 4508 S Laburnum Ave Suite 100 Richmond VA 23231-2476 Ph: (804) 350-5336 | Spread Your Wings Supportive Counseling 4508 S Laburnum Ave Suite 100 Richmond VA 23231-2476 Ph: (804) 350-5336 |
| NPI Number | 1992239693 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 04/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992239693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Virginia) | Primary |
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