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Organization
SHUMATE MANAGEMENT LLC
Active
Organization
SHUMATE MANAGEMENT LLC
Active
Other names
Blackwater Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY SHUMATE (OWNER)
(206) 235-0968
Entity
Organization
Contact information
Practice address
2900 OLD FOREST RD STE A, LYNCHBURG, VA 24501-2335
(206) 235-0968
Mailing address
2900 OLD FOREST RD STE A, LYNCHBURG, VA 24501-2335
(434) 316-1826
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/03/2024
Last updated
11/25/2024
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