Organization
STARKEWOOD CHRISTIAN COUNSELING SERVICES, P.C.
Active
Organization
STARKEWOOD CHRISTIAN COUNSELING SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE C STARKE II LPC (EXECUTIVE DIRECTOR)
(804) 733-8585
Entity
Organization
Contact information
Practice address
589 S CRATER RD, PETERSBURG, VA 23803-5263
(804) 733-8585
(804) 733-9066
Mailing address
1742 BERKELEY AVE, PETERSBURG, VA 23805-2806
(804) 733-8585
(804) 733-9066
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0701003843
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010243696
—
VA
05
—
010336449
—
VA
Enumeration date
09/06/2008
Last updated
09/06/2008
Update your record
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