Organization
WELLNESS BOUTIQUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY GLOVER-EPPS LPC, NCC, LSATP (OWNER)
(804) 762-0079
Entity
Organization
Contact information
Practice address
2807 N PARHAM RD STE 320, HENRICO, VA 23294-4458
(540) 525-6155
Mailing address
2807 N PARHAM RD, STE 320 #5991, HENRICO, VA 23294
(540) 525-6155
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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