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Organization

YOUR BUSINESS CCC

Active
Parent organization
YOUR BUSINESS CCC
Other names
Caring Hearts & Hands Primary Practice, Release it Counseling
Organization subpart
Yes

Provider details

NPI number
Legal business name
YOUR BUSINESS CCC
Authorized official
WHITNEY SMITH (CEO)
(757) 347-0703
Entity
Organization

Contact information

Practice address
424 MARKET ST STE 100, SUFFOLK, VA 23434-5249
(757) 347-0703
(757) 276-6514
Mailing address
424 MARKET ST STE 100, SUFFOLK, VA 23434-5249
(757) 347-0703

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1922695592
VA
Enumeration date
12/23/2024
Last updated
03/20/2025
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