Organization
MANIFESTINI COACHING AND CONSULTING LLC
Active
Other names
Manifestini Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN PETERSON-LEWIS LPC (OWNER)
(804) 516-4471
Entity
Organization
Contact information
Practice address
5730 DEEP FOREST RD, NORTH CHESTERFIELD, VA 23237-3964
(804) 516-4471
Mailing address
5730 DEEP FOREST RD, NORTH CHESTERFIELD, VA 23237-3964
(804) 516-4471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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