Organization
HEAL IT IN THE WILD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY FAYAK LPC (CEO)
(757) 434-3329
Entity
Organization
Contact information
Practice address
4004 TIN ROOF WAY, GLEN ALLEN, VA 23059-8050
(804) 606-0716
Mailing address
4004 TIN ROOF WAY, GLEN ALLEN, VA 23059-8050
(804) 606-0716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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