Organization
COMMONWEALTH SUPPORTIVE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAPALL KING LMHP (OWNER)
(804) 988-6768
Entity
Organization
Contact information
Practice address
16 S 2ND ST STE 300, RICHMOND, VA 23219-3723
(804) 566-2049
Mailing address
16 S 2ND ST STE 300, RICHMOND, VA 23219-3723
(804) 566-2049
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/12/2024
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