Organization
MEWELAU HALL, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TISA STANLEY (ENROLLMENT SPECIALIST)
(770) 284-1787
Entity
Organization
Contact information
Practice address
85 SANGERS LN, STAUNTON, VA 24401-6712
(540) 887-3200
Mailing address
85 SANGERS LN, STAUNTON, VA 24401-6712
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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