Organization
CONSCIOUS COLLECTIVE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE REYNOLDS LCSW (OWNER)
(571) 207-6471
Entity
Organization
Contact information
Practice address
1451 BELLE HAVEN RD STE 230, ALEXANDRIA, VA 22307-1201
(802) 735-5447
Mailing address
1451 BELLE HAVEN RD STE 230, ALEXANDRIA, VA 22307-1201
(802) 735-5447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
10/07/2024
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