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Organization
AWAKENING OF THE SOUL PSYCHOTHERAPY SERVICES, LLC
Active
Organization
AWAKENING OF THE SOUL PSYCHOTHERAPY SERVICES, LLC
Active
Other names
Awakening of the Soul Psychotherapy Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILMARIE VEGA- MATOS LCSW (OWNER)
(787) 203-1535
Entity
Organization
Contact information
Practice address
1005 LOUISA AVE, PORTSMOUTH, VA 23707-2931
(787) 203-1535
Mailing address
1005 LOUISA AVE, PORTSMOUTH, VA 23707-2931
(787) 203-1535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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