Augusta Counseling Group
Clinic/Center, Mental Health (Including Community Mental Health Center) in Verona, VA. Organization (NPI-2).
NPI number1164046397
StatusActive
Last updated in NPPESJun 3, 2020
Details
- NPI
- 1164046397
- Entity type
- Organization (NPI-2)
- Legal business name
- Augusta Counseling Group
- Organization subpart
- No
- Enumeration date
- Jun 3, 2020
- Certification date
- Jun 3, 2020
- Last updated
- Jun 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
113 Mill Place Pkwy Unit 105Verona, VA 24482-2662
Phone 267-733-2656
Mailing address
113 Mill Place Pkwy Unit 105Verona, VA 24482-2662
Phone 267-733-2656
Authorized official
Matthew Swartzentruber
Licensed Professional Counselor
2677332656
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