Organization
ERVIN'S VILLAGE FAMILY SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY L COBBS SUP-LCSW MSW MTS (OWNER)
(434) 713-3340
Entity
Organization
Contact information
Practice address
625 PINEY FOREST RD, DANVILLE, VA 24540-2867
(434) 713-3340
Mailing address
625 PINEY FOREST RD, DANVILLE, VA 24540-2867
(434) 713-3340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/07/2022
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