Organization
COASTAL TRAUMA TREATMENT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SHIFFLETT LCSW (OWNER)
(434) 260-7430
Entity
Organization
Contact information
Practice address
224 CARLTON RD, CHARLOTTESVILLE, VA 22902-5972
(434) 260-7430
Mailing address
224 CARLTON RD, CHARLOTTESVILLE, VA 22902-5972
(434) 260-7430
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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