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Organization
OMNI ADDICTION SERVICES
Active
Organization
OMNI ADDICTION SERVICES
Active
Other names
Omni Addiction & Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATESHIA ANN GILLIAM LPC, LSATP (OWNER)
(434) 532-2001
Entity
Organization
Contact information
Practice address
102 E HICKS ST STE 101, LAWRENCEVILLE, VA 23868-1830
(434) 253-5617
Mailing address
199 MORRIS TOWN CIR, LA CROSSE, VA 23950-2054
(434) 532-2001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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