Organization
PHOENIX MENTAL HEALTH COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALAIKA LILLARD (OWNER)
(301) 906-3654
Entity
Organization
Contact information
Practice address
7024 SUMMERS TRACE TER, CHESTERFIELD, VA 23832-8472
(301) 906-3654
Mailing address
7024 SUMMERS TRACE TER, CHESTERFIELD, VA 23832-8472
(301) 906-3654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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