Organization
ELITE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY NICOLE MCCANTS (ADMINISTRATIVE MANAGER)
(757) 223-1583
Entity
Organization
Contact information
Practice address
739 THIMBLE SHOALS BLVD STE 704, NEWPORT NEWS, VA 23606-3586
(757) 223-1583
(757) 223-1502
Mailing address
739 THIMBLE SHOALS BLVD, STE 704 BOX 9, NEWPORT NEWS, VA 23606
(757) 223-1583
(757) 223-1502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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