Organization
SEASIDE WELLNESS, LLC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE W WASH (OWNER)
(757) 813-7894
Entity
Organization
Contact information
Practice address
501 VILLAGE AVE STE 204, YORKTOWN, VA 23693-5657
(757) 813-7894
Mailing address
402 OLD LANDING RD, YORKTOWN, VA 23692-4316
(757) 813-7894
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/29/2024
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