Organization
C&C THERAPY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA CHILDRESS LPC (OWNER)
(804) 641-5176
Entity
Organization
Contact information
Practice address
4169 VIRGINIA BEACH BLVD STE 150, VIRGINIA BEACH, VA 23452-1783
(804) 641-5176
(757) 210-3996
Mailing address
4169 VIRGINIA BEACH BLVD STE 150, VIRGINIA BEACH, VA 23452-1783
(804) 641-5176
(757) 210-3996
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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