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Organization
THRIVING WELL HOLISTIC WELLNESS SOLUTIONS
Active
Organization
THRIVING WELL HOLISTIC WELLNESS SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LA'TOYA NICOLE EDWARDS LCSW (CEO)
(757) 303-1795
Entity
Organization
Contact information
Practice address
250 W BRAMBLETON AVE STE 101, NORFOLK, VA 23510-1505
(757) 303-1795
Mailing address
250 W BRAMBLETON AVE STE 101, NORFOLK, VA 23510-1505
(757) 303-1795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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