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Organization

BEHAVIORAL HEALTH AND WELLNESS SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA WILKINSON LMFT (CLINICAL SUPERVISOR)
(317) 710-0354
Entity
Organization

Contact information

Practice address
1020 ANNABRANCH TRCE, CHESAPEAKE, VA 23323-5755
(773) 865-0477
(215) 754-4649
Mailing address
3100 N DAVIDSON ST, CHARLOTTE, NC 28205-1080
(773) 865-0477
(215) 754-4649

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/29/2016
Last updated
02/29/2016
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