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Organization
STACIE DAVIS LLC
Active
Organization
STACIE DAVIS LLC
Active
Other names
Chesapeake Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE DAVIS LPC (OWNER/OPERATOR)
(757) 574-0303
Entity
Organization
Contact information
Practice address
501 CEDAR RD STE 2C, CHESAPEAKE, VA 23322-5527
(757) 574-0303
(757) 574-0102
Mailing address
501 CEDAR RD STE 2C, CHESAPEAKE, VA 23322-5527
(757) 574-0303
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790860559
—
VA
Enumeration date
01/19/2019
Last updated
01/19/2019
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