Organization
VIRCILLE COUNSELING & CONSULTING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAKISHA BRIMAGE PSY.D. (LPC-MHSP/CEO)
(931) 809-2533
Entity
Organization
Contact information
Practice address
1651 WILMA RUDOLPH BLVD STE 204, CLARKSVILLE, TN 37040-6783
(931) 809-2533
Mailing address
4237 N WOODSTOCK DR, CLARKSVILLE, TN 37040-5653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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