Organization
TRANSFORMATION TAKES TIME COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YASIM S CLARK LPC, CSOTP (LICENSED MENTAL HEALTH CLINICIAN)
(804) 277-7761
Entity
Organization
Contact information
Practice address
5911 WILLOW OAKS DRIVE APT E, RICHMOND, VA 23225-2428
(804) 277-7761
Mailing address
5911 WILLOW OAKS DR APT E, RICHMOND, VA 23225-2428
(804) 277-7761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006598
VA
Other
Enumeration date
09/14/2017
Last updated
07/21/2022
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