Organization
PROLIFIC COUNSELING GROUP LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENTNEY LASON WILLIAMS (CEO)
(757) 405-4201
Entity
Organization
Contact information
Practice address
601 DINWIDDIE ST, PORTSMOUTH, VA 23704-3613
(757) 405-4201
Mailing address
601 DINWIDDIE ST, PORTSMOUTH, VA 23704-3613
(757) 405-4201
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/22/2019
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