Organization
PURE MIND COUNSELING GROUP
Active
Other names
Pure Mind Counseling Group
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA L MASSENBURG (PREAIDENT)
(804) 998-3393
Entity
Organization
Contact information
Practice address
6741 CLARK RD, POWHATAN, VA 23139-6419
(804) 491-5300
Mailing address
6741 CLARK RD, POWHATAN, VA 23139-6419
(804) 491-5300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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