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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