Organization
GORDON WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA DORLINE JOHNSON LCSW (OWNER)
(757) 534-7840
Entity
Organization
Contact information
Practice address
610 THIMBLE SHOALS BLVD # 403, NEWPORT NEWS, VA 23606-2573
(757) 534-7840
(757) 506-0432
Mailing address
610 THIMBLE SHOALS BLVD, 401-A, NEWPORT NEWS, VA 23606-2573
(757) 534-7840
(757) 534-7844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
090400826
VA
Other
Enumeration date
07/22/2015
Last updated
07/09/2024
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