Organization
INTEGRATED MIND PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA M MCCULLOUGH LCSW (OWNER)
(757) 663-2660
Entity
Organization
Contact information
Practice address
5705 LYNNHAVEN PKWY STE 104-1074, VIRGINIA BEACH, VA 23464-9152
(757) 663-2660
Mailing address
2005 RAMSAY CT, VIRGINIA BEACH, VA 23464-9000
(757) 663-2660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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