| Waves Of Change Coalition Llc | |
|
2380 Liberty Way Virginia Beach VA 23456-3466 | |
| (757) 773-2102 | |
| Not Available |
| Full Name | Waves Of Change Coalition Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2380 Liberty Way, Virginia Beach, Virginia |
| Authorized Official Name and Position | Carlan Jones (OWNER/MANAGER) |
| Authorized Official Contact | 7577732102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waves Of Change Coalition Llc 529 Hyde Park Rd Norfolk VA 23503-5513 Ph: () - | Waves Of Change Coalition Llc 2380 Liberty Way Virginia Beach VA 23456-3466 Ph: (757) 773-2102 |
| NPI Number | 1508605940 |
|---|---|
| Provider Enumeration Date | 05/24/2024 |
| Last Update Date | 05/24/2024 |
| Certification Date | 05/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508605940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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