Organization
LOOK INSIDE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH PATRICIA WATTA LCSW (OWNER)
(571) 449-7837
Entity
Organization
Contact information
Practice address
21 N BROAD ST STE E # 10104, LURAY, VA 22835-1162
(571) 449-7837
Mailing address
PO BOX 806054, SAINT CLAIR SHORES, MI 48080-6054
(571) 449-7837
(571) 449-7837
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
07/11/2022
Last updated
07/17/2024
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