Organization
GOSHEN WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE MACK (LCSW, OWNER)
(804) 514-2385
Entity
Organization
Contact information
Practice address
12801 IRON BRIDGE RD STE 100, CHESTER, VA 23831-1669
(804) 661-5886
Mailing address
7105 ABLE RD, CHESTERFIELD, VA 23832-8418
(804) 514-2385
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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