Organization
OBSIDIAN COUNSELING AND WELLNESS CENTER, LLC
Active
Other names
Obsidian Counseling and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA BECKUM LPC (CHIEF EXECUTIVE OFFICER/LPC)
(757) 453-3051
Entity
Organization
Contact information
Practice address
6387 CENTER DR STE 19, NORFOLK, VA 23502-4109
(757) 453-3051
Mailing address
857 GEORGE WASHINGTON HWY N UNIT 6991, CHESAPEAKE, VA 23323-1362
(757) 453-3051
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
04/02/2020
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