Organization
SOARING FOR CHANGE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RASHA NICKERA HICKS LPC (EXECUTIVE DIRECTOR)
(804) 683-8731
Entity
Organization
Contact information
Practice address
3320 PLOWFIELD CT, RICHMOND, VA 23223-1272
(804) 683-8731
(804) 225-8688
Mailing address
3320 PLOWFIELD CT, RICHMOND, VA 23223-1272
(804) 683-8731
(804) 225-8688
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0701006414
VA
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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