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Prospect Park Counseling Services

Clinic/Center, Mental Health (Including Community Mental Health Center) in Galax, VA. Organization (NPI-2).

NPI number1982167771
StatusActive
Last updated in NPPESApr 9, 2019

Details

NPI
1982167771
Entity type
Organization (NPI-2)
Legal business name
Prospect Park Counseling Services
Organization subpart
No
Enumeration date
Apr 9, 2019
Last updated
Apr 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

974 E Stuart Dr Ste D185
Galax, VA 24333-2463

Phone 804-496-8399

Mailing address

974 E Stuart Dr Ste D185
Galax, VA 24333-2463

Phone 804-496-8399

Authorized official

Nakeisha L Whitfield
Ceo
8044968399

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