Organization
DR SOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACIE DENEEN OTEY-SCOTT PSY.D. (PRESIDENT/CEO)
(757) 559-1212
Entity
Organization
Contact information
Practice address
5326 CENTER ST, WILLIAMSBURG, VA 23188-2815
(757) 559-1212
Mailing address
5326 CENTER ST, WILLIAMSBURG, VA 23188-2815
(757) 559-1212
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
10/30/2023
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