Organization
ILIAD COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACI DANIELLE RICHARDS PHD, LPC, NCC, CCTP (OWNER)
(757) 589-2973
Entity
Organization
Contact information
Practice address
4000 EDINBURGH CT, SUFFOLK, VA 23434-7055
(757) 774-8306
Mailing address
1024 CENTERBROOKE LANE, STE F #146, SUFFOLK, VA 23434-8294
(757) 589-2973
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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