Organization
LIVE WELL BY DR. SOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACIE OTEY-SCOTT PSYD (CEO)
(757) 559-1212
Entity
Organization
Contact information
Practice address
5326 CENTER ST, WILLIAMSBURG, VA 23188-2815
(757) 559-1212
Mailing address
5326 CENTER ST, WILLIAMSBURG, VA 23188-2815
(757) 559-1212
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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