Organization
WONDERFULLY MADE SERVICES LLC
Active
Other names
Wonderfully Made Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE STEPHENS-SMITH LCSW, CSAC (OWNER)
(757) 344-6210
Entity
Organization
Contact information
Practice address
12 BRAEMAR DR, HAMPTON, VA 23669-3706
(757) 344-6210
(855) 612-7072
Mailing address
PO BOX 9364, HAMPTON, VA 23670-0364
(747) 344-6210
(855) 612-7072
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
10/14/2024
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