Organization
SUPPORTIVE SOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY HARRIS (OWNER)
(434) 603-1646
Entity
Organization
Contact information
Practice address
325B BROWN ST, PETERSBURG, VA 23803-4247
(804) 442-6298
Mailing address
325-B BROWN STREET SUITE 130, PETERSBURG, VA 23803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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