Organization
ENNOBLED COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA RENEA GREGG-MARTIN LPC (OWNER/CEO)
(804) 252-1862
Entity
Organization
Contact information
Practice address
3620 REYNOLDS RD, RICHMOND, VA 23223-1428
(804) 252-1862
Mailing address
700 E 6TH ST, STUDIO L, RICHMOND, VA 23224-5560
(804) 252-1862
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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