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Organization
WAYVINE SERVICES, PLLC
Active
Organization
WAYVINE SERVICES, PLLC
Active
Other names
Wayvine Services
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RESZKA LCSW (DIRECTOR)
(804) 509-1559
Entity
Organization
Contact information
Practice address
928 1/2 N HAMILTON ST, RICHMOND, VA 23221-1204
(989) 370-3011
Mailing address
6841 FOREST HILL AVE UNIT 365, RICHMOND, VA 23225-1603
(804) 509-1559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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