Organization
MAE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SMITH-PEREZ LMHC, LPC (OWNER/THERAPIST)
(718) 594-2040
Entity
Organization
Contact information
Practice address
1108 E MAIN ST STE 701, RICHMOND, VA 23219-3534
(718) 594-2040
Mailing address
1108 E MAIN ST STE 701, RICHMOND, VA 23219-3534
(718) 594-2040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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