# IVY COUNSELING AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811597164
- **Authorized official:** ADONICE D'ATRE LCSW (PROVIDER)
- **Authorized official phone:** (434) 260-2454

## Contact information

- **Practice address:** 2 BOARS HEAD LN STE 140, CHARLOTTESVILLE, VA 22903-4605
- **Practice address phone:** (434) 260-2454
- **Mailing address:** PO BOX 54, IVY, VA 22945-0054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2020
- **Last updated:** 12/20/2022
