Organization
GEORGE ENNELS, COUNSELING AND CONSULTING SERVICES, LLC
Active
Organization
GEORGE ENNELS, COUNSELING AND CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE MICHAEL ENNELS LCSW (SOCIAL WORKER)
(757) 439-9026
Entity
Organization
Contact information
Practice address
2412 E VIRGINIA BEACH BLVD STE D, NORFOLK, VA 23504-3604
(757) 439-9026
(757) 622-8585
Mailing address
905 MERRIMAC AVE, NORFOLK, VA 23504-4058
(757) 439-9026
(757) 622-8585
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904000980
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164595443
INDIVIDUAL
VA
Enumeration date
08/28/2015
Last updated
08/28/2015
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