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Organization
VITA BELLA COUNSELING
Active
Organization
VITA BELLA COUNSELING
Active
Other names
Antonina Vitale
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONINA VITALE LCSW (OWNER)
(917) 627-5313
Entity
Organization
Contact information
Practice address
4732 LONGHILL RD STE 3202, WILLIAMSBURG, VA 23188-1586
(757) 758-6635
(757) 282-2546
Mailing address
4951 FENTON MILL RD, WILLIAMSBURG, VA 23188-6923
(917) 627-5313
(757) 282-2546
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007245
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230356841
—
VA
Enumeration date
12/05/2017
Last updated
03/17/2018
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