Conquering Obstacles With Ambitious Commitment & Healing, LLC
Social Worker, Clinical in Chesapeake, VA. Organization (NPI-2).
NPI number1497360465
StatusActive
Last updated in NPPESAug 7, 2021
Details
- NPI
- 1497360465
- Entity type
- Organization (NPI-2)
- Legal business name
- Conquering Obstacles With Ambitious Commitment & Healing, LLC
- Organization subpart
- No
- Enumeration date
- Sep 15, 2020
- Certification date
- Aug 7, 2021
- Last updated
- Aug 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2005 Old Greenbrier Rd Ste 102Chesapeake, VA 23320-2649
Phone 757-550-1594 · Fax 757-578-8244
Mailing address
1216 Granby St Ste 206Norfolk, VA 23510-2622
Phone 757-550-1594 · Fax 757-578-8244
Authorized official
Shana Simmons
Ceo/Clinical Director
7577010762
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