Organization
GOOD MOURNING COUNSELING & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANISA GLOWCZAK MSED, LPC, NCC-GC-C (DIRECTOR/COUNSELOR)
(757) 572-4609
Entity
Organization
Contact information
Practice address
3630 S PLAZA TRL STE 210C, VIRGINIA BEACH, VA 23452-3366
(757) 572-4609
Mailing address
1324 DEBBS LN, CHESAPEAKE, VA 23320-8202
(757) 436-4368
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0701007162
VA
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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