Organization
FAR AND BEYOND MENTORING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY AMANETU (CHIEF EXECUTIVE OFFICER)
(434) 200-0038
Entity
Organization
Contact information
Practice address
117A TRADEWYND DR, LYNCHBURG, VA 24502-3112
(434) 200-0038
Mailing address
203 WAYNE DR, LYNCHBURG, VA 24502-4445
(434) 200-0038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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