Hispaniola Mental Health, LLC
Counselor in North Chesterfield, VA. Organization (NPI-2).
NPI number1700549896
StatusActive
Last updated in NPPESOct 15, 2021
Details
- NPI
- 1700549896
- Entity type
- Organization (NPI-2)
- Legal business name
- Hispaniola Mental Health, LLC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2021
- Certification date
- Oct 15, 2021
- Last updated
- Oct 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Other names
- Hispaniola Mental Health (Other Name)
Practice location
2911 Turner Rd Ste B6North Chesterfield, VA 23224-2562
Phone 804-312-5002
Mailing address
149 Watercress CtColonial Heights, VA 23834-2193
Phone 804-312-5002
Authorized official
Maria Marcelina Flores
Owner
8043125002
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