Organization
BALM OF GILEAD COUNSELING SERVICES
Active
Parent organization
PISTEUO COUNSELING SERVICES
Other names
BALM OF GILEAD COUNSELING
Organization subpart
Yes
Provider details
NPI number
Legal business name
PISTEUO COUNSELING SERVICES
Authorized official
OLADAYO O OLUWALOLA LCSW (OWNER)
(434) 632-8041
Entity
Organization
Contact information
Practice address
111 MILL CREEK PKWY, CHESAPEAKE, VA 23323-1098
(434) 632-8041
Mailing address
2064 BURSON DR, CHESAPEAKE, VA 23323-5304
(434) 632-8041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770240228
CIGNA
VA
Enumeration date
09/19/2022
Last updated
09/19/2022
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