# NEIGHBORLY SUPPPORT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124955745
- **Authorized official:** JERZIE NICOLE BOOSE BS, CSAC-SUPERVISEE (CLINICIAN)
- **Authorized official phone:** (540) 819-8309

## Contact information

- **Practice address:** 818 ANCHOR DR, ROANOKE, VA 24012-1206
- **Practice address phone:** (540) 819-8309
- **Mailing address:** 818 ANCHOR DR, ROANOKE, VA 24012-1206
- **Mailing address phone:** (540) 819-8309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 05/07/2026
- **Last updated:** 05/07/2026