Organization
NEIGHBORLY SUPPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERZIE NICOLE BOOSE BS, CSAC-SUPERVISEE (CLINICIAN)
(540) 819-8309
Entity
Organization
Contact information
Practice address
818 ANCHOR DR, ROANOKE, VA 24012-1206
(540) 819-8309
Mailing address
818 ANCHOR DR, ROANOKE, VA 24012-1206
(540) 819-8309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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