Organization
ENLIGHTENED COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BUCKLEY (OWNER)
(757) 285-7646
Entity
Organization
Contact information
Practice address
2455 CHERRY BLOSSOM DR, SUFFOLK, VA 23434-2179
(757) 285-7646
Mailing address
2455 CHERRY BLOSSOM DR, SUFFOLK, VA 23434-2179
(757) 285-7646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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