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Organization
COASTAL COUNSELING CENTER OF TIDEWATER
Active
Organization
COASTAL COUNSELING CENTER OF TIDEWATER
Active
Other names
Stacia Chapman-Gorey
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA CHAPMAN-GOREY LCSW (LCSW)
(757) 345-6428
Entity
Organization
Contact information
Practice address
215 MCLAWS CIR STE 1, WILLIAMSBURG, VA 23185-5799
(757) 345-6428
(757) 345-6808
Mailing address
215 MCLAWS CIR STE 1, WILLIAMSBURG, VA 23185-5799
(757) 345-6428
(757) 345-6808
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904009449
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194862813
INDIVIDUAL NPI
VA
Enumeration date
03/13/2018
Last updated
03/13/2018
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