Organization
MY ALL ENTERPRISES, INC.
Active
Other names
My All Therapy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE MICHELLE ETTER LCSW (PRESIDENT/OWNER)
(540) 797-9620
Entity
Organization
Contact information
Practice address
131 OLD BROOK RD STE C, VINTON, VA 24179-4301
(540) 797-9620
Mailing address
3353 GLADE CREEK BLVD NE APT 11, ROANOKE, VA 24012-8659
(540) 797-9620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904009900
VA
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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