Azur Psychotherapy, PLLC
Social Worker, Clinical in Midlothian, VA. Organization (NPI-2).
NPI number1346972080
StatusActive
Last updated in NPPESJun 30, 2022
Details
- NPI
- 1346972080
- Entity type
- Organization (NPI-2)
- Legal business name
- Azur Psychotherapy, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2022
- Certification date
- Jun 30, 2022
- Last updated
- Jun 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2900 E Brigstock RdMidlothian, VA 23113-3929
Phone 804-424-2644
Mailing address
14241 Midlothian Tpke Ste 170Midlothian, VA 23113-6500
Phone 804-424-2644
Authorized official
Christopher Morgan Weed
Owner/Psychotherapist
8044242644
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