Organization
BLUE ROSE CONSULTING GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLARD H MEEKS PSY.D. (PROGRAM DIRECTOR)
(202) 774-2059
Entity
Organization
Contact information
Practice address
880 HARRISON ST SE STE 162, LEESBURG, VA 20175-4530
(202) 774-2059
Mailing address
880 HARRISON ST SE STE 162, LEESBURG, VA 20175-4530
(202) 774-2059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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