Organization
CNCW LLC
Active
Other names
Created Noble Center for Well-being
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEDIYEH GODFREY (CO-FOUNDER)
(703) 403-9987
Entity
Organization
Contact information
Practice address
2 CARDINAL PARK DR SE STE 105A, LEESBURG, VA 20175-4448
(703) 403-9987
Mailing address
19147 CHARTIER DR, LEESBURG, VA 20176-1272
(703) 403-9987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215517156
NPI
—
Enumeration date
04/23/2021
Last updated
04/23/2021
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