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Organization
HEAL IT IN THE WILD LLC
Active
Organization
HEAL IT IN THE WILD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY FAYAK LPC (CEO)
(757) 434-3329
Entity
Organization
Contact information
Practice address
4004 TIN ROOF WAY, GLEN ALLEN, VA 23059-8050
(804) 606-0716
Mailing address
4004 TIN ROOF WAY, GLEN ALLEN, VA 23059-8050
(804) 606-0716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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