| Starfish Wellness And Therapeutic | |
|
4860 Cox Rd Ste 200 Glen Allen VA 23060-9248 | |
| (804) 210-2360 | |
| Not Available |
| Full Name | Starfish Wellness And Therapeutic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4860 Cox Rd Ste 200, Glen Allen, Virginia |
| Authorized Official Name and Position | Alexandrea Jackson (OWNER) |
| Authorized Official Contact | 8042102360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starfish Wellness And Therapeutic 4860 Cox Rd Ste 200 Glen Allen VA 23060-9248 Ph: (804) 210-2360 | Starfish Wellness And Therapeutic 4860 Cox Rd Ste 200 Glen Allen VA 23060-9248 Ph: (804) 210-2360 |
| NPI Number | 1275117756 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 05/10/2021 |
| Certification Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275117756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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