Organization
VIRTUAL EDGE THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY SAILORS MSW LCSW (OWNER/EMPLOYER)
(619) 818-7841
Entity
Organization
Contact information
Practice address
4329 S RIVER VALLEY CT STE A, FORT MOHAVE, AZ 86426-5340
(619) 818-7841
Mailing address
PO BOX 10153, FORT MOHAVE, AZ 86427-0153
(619) 818-7841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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