| Streams Of Restoration Therapy, Llc | |
|
12750 Jefferson Davis Hwy #235 Chester VA 23831 | |
| (571) 408-9511 | |
| Not Available |
| Full Name | Streams Of Restoration Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12750 Jefferson Davis Hwy #235, Chester, Virginia |
| Authorized Official Name and Position | April Walker (OWNER) |
| Authorized Official Contact | 8045861343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Streams Of Restoration Therapy, Llc 12750 Jefferson Davis Hwy # 235 Chester VA 23831-5308 Ph: (571) 408-8511 | Streams Of Restoration Therapy, Llc 12750 Jefferson Davis Hwy #235 Chester VA 23831 Ph: (571) 408-9511 |
| NPI Number | 1225791767 |
|---|---|
| Provider Enumeration Date | 10/21/2021 |
| Last Update Date | 10/21/2021 |
| Certification Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225791767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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