Organization
STARFISH WELLNESS AND THERAPEUTIC
Active
Other names
Starfish Wellness and Therapeutic Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDREA JACKSON LPC (OWNER)
(804) 210-2360
Entity
Organization
Contact information
Practice address
4860 COX RD STE 200, GLEN ALLEN, VA 23060-9248
(804) 210-2360
Mailing address
4860 COX RD STE 200, GLEN ALLEN, VA 23060-9248
(804) 210-2360
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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