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Organization
MARRIAGE HEALING CENTER, LLC
Active
Organization
MARRIAGE HEALING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLEY BOOTHE LCSW (PRESIDENT)
(571) 699-0160
Entity
Organization
Contact information
Practice address
7230 HERITAGE VILLAGE PLZ STE 202, GAINESVILLE, VA 20155-3054
(571) 480-1991
Mailing address
7230 HERITAGE VILLAGE PLZ STE 202, GAINESVILLE, VA 20155-3054
(571) 480-1991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
06/16/2018
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