Organization
KEY MENTORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CIERRA HARRIS LPC (EXECUTIVE DIRECTOR)
(804) 475-1436
Entity
Organization
Contact information
Practice address
1620 ALTAMONT AVE APT 23, RICHMOND, VA 23230-4538
(804) 475-1436
Mailing address
PO BOX 26362, RICHMOND, VA 23260-6362
(804) 215-6257
(804) 800-4535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/09/2022
Last updated
07/08/2022
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