Organization
RELEASE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLERVETT NIKIENE WILLIAMS LPC (OWNER, THERAPIST)
(843) 441-6419
Entity
Organization
Contact information
Practice address
4410 CLAIBORNE SQ E STE 334, HAMPTON, VA 23666-2074
(757) 751-9508
(757) 210-4405
Mailing address
40 HARD WOOD DR, HAMPTON, VA 23666-5656
(757) 751-9508
(757) 210-4405
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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