Organization
EPIPHANY COUNSELING AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NADINE S GRAHAM (OWNER)
(804) 223-0168
Entity
Organization
Contact information
Practice address
11 N VIRGINIA AVE, RICHMOND, VA 23223-3431
(804) 223-0168
Mailing address
7330 STAPLES MILL RD # 269, RICHMOND, VA 23228-4122
(804) 223-0168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/06/2020
Last updated
08/30/2021
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