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Organization
ANEW LIVING LLC
Active
Organization
ANEW LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATOYA L GREEN QMHP (CEO/PROGRAM DIRECTOR)
(804) 451-9939
Entity
Organization
Contact information
Practice address
21206 CHESTERFIELD AVE STE B, SOUTH CHESTERFIELD, VA 23803-1920
(804) 451-9939
Mailing address
21206 CHESTERFIELD AVE STE B, SOUTH CHESTERFIELD, VA 23803-1920
(804) 451-9939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2989
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2989
—
VA
Enumeration date
04/12/2018
Last updated
04/12/2018
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