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Organization
PROSPERITY EATING DISORDER AND WELLNESS
Active
Organization
PROSPERITY EATING DISORDER AND WELLNESS
Active
Parent organization
PROSPERITY EATING DISORDER AND WELLNESS
Other names
Prosperity/Norfolk
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROSPERITY EATING DISORDER AND WELLNESS
Authorized official
HEATHER NELSON BAKER LCSW (CEO)
(703) 466-5150
Entity
Organization
Contact information
Practice address
6340 CENTER DR STE 100, NORFOLK, VA 23502-0008
(800) 863-7224
(703) 649-3557
Mailing address
6340 CENTER DR STE 100, NORFOLK, VA 23502-0008
(800) 863-7224
(703) 649-3557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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