Organization
BLAKEY WEAVER COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAWANNA EVETTE WARD-HALL DCC, LCSW (CHAIRMAN)
(757) 395-0472
Entity
Organization
Contact information
Practice address
129 N SARATOGA ST STE 1, SUFFOLK, VA 23434-5255
(757) 539-5353
(757) 539-5399
Mailing address
129 N SARATOGA ST STE 1, SUFFOLK, VA 23434-5255
(757) 539-5353
(757) 539-5399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
09/06/2023
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