Organization
CHARIS MENTAL HEALTH PLUS INTEGRATIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LA KEISHA KENETI DNP, FNP-C, PMH-BC (TRUSTEE)
(757) 922-8048
Entity
Organization
Contact information
Practice address
2470 PRUDEN BLVD, SUFFOLK, VA 23434-4206
(757) 922-8048
(757) 922-8049
Mailing address
2470 PRUDEN BLVD, SUFFOLK, VA 23434-4206
(757) 922-8048
(757) 922-8049
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/20/2023
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