Organization
CENTRAL VIRGINIA COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE ELLEN PETTY M.A., L.P.C. (COUNSELOR)
(434) 473-2291
Entity
Organization
Contact information
Practice address
808 WIGGINGTON RD STE D, LYNCHBURG, VA 24502-5155
(434) 473-2291
(540) 765-3369
Mailing address
808 WIGGINGTON RD STE D, LYNCHBURG, VA 24502-5155
(434) 473-2291
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0701005872
VA
Other
Enumeration date
01/09/2017
Last updated
09/23/2022
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