Organization
MARTHA E MCCOY LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA E MCCOY LCSW (OWNER)
(434) 218-0703
Entity
Organization
Contact information
Practice address
509 PARK ST, CHARLOTTESVILLE, VA 22902-4739
(434) 218-0703
(434) 293-2310
Mailing address
509 PARK ST, CHARLOTTESVILLE, VA 22902-4739
(434) 218-0703
(434) 293-2310
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0904007133
VA
Other
Enumeration date
05/04/2015
Last updated
11/11/2022
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