Organization
CONCRETE ROSES COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA NICOLE WHITLOW LCSW (CEO)
(540) 827-9071
Entity
Organization
Contact information
Practice address
11237 MAGILL TERRACE DR, CHESTER, VA 23831-6150
(540) 827-9071
Mailing address
11237 MAGILL TERRACE DR, CHESTER, VA 23831-6150
(540) 827-9071
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/18/2023
Last updated
03/20/2024
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