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Organization
TAYLOR ENHANCED LIVING
Active
Organization
TAYLOR ENHANCED LIVING
Active
Other names
Taylor Starkewood Enterprises
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARITA LAVONNE THREATT LPC (CLINICAL DIRECTOR)
(804) 733-8847
Entity
Organization
Contact information
Practice address
105 HOLLY HILL DIVE, SUITE A, PETERSBURG, VA 23805
(804) 733-8847
(804) 732-4963
Mailing address
105 HOLLY HILL DIVE, SUITE A, PETERSBURG, VA 23805
(804) 733-8847
(804) 732-4963
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006556
VA
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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