Organization
BRAIN MATTERS THERAPY, PLLC
Active
Other names
Sunshine Counseling Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIA PORTER LPC (OWNER)
(276) 970-9747
Entity
Organization
Contact information
Practice address
546 VIRGINIA AVE, BLUEFIELD, VA 24605-1729
(276) 970-9747
Mailing address
75 SEDGEWOOD MNR, BLUEFIELD, VA 24605-9316
(305) 432-1672
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
08/20/2021
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