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Organization
OBSIDIAN COUNSELING AND WELLNESS CENTER, LLC
Active
Organization
OBSIDIAN COUNSELING AND WELLNESS CENTER, LLC
Active
Other names
Obsidian Counseling and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA BECKUM LPC (CHIEF EXECUTIVE OFFICER/LPC)
(757) 453-3051
Entity
Organization
Contact information
Practice address
6387 CENTER DR STE 19, NORFOLK, VA 23502-4109
(757) 453-3051
Mailing address
857 GEORGE WASHINGTON HWY N UNIT 6991, CHESAPEAKE, VA 23323-1362
(757) 453-3051
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
04/02/2020
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