Organization
RENAISSANCE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LASONYA GREEN (PROGRAM DIRECTOR/OWNER)
(757) 270-6563
Entity
Organization
Contact information
Practice address
704 RUE MARSEILLE, CHESAPEAKE, VA 23320-6671
(757) 270-6563
Mailing address
704 RUE MARSEILLE, CHESAPEAKE, VA 23320-6671
(757) 270-6563
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
38988
VA
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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