Organization
AVATAR HOLDINGS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA CLEAVES (CEO)
(757) 533-9242
Entity
Organization
Contact information
Practice address
850 TIDEWATER DR, SUITE A, NORFOLK, VA 23504-3300
(757) 533-9242
(757) 533-9634
Mailing address
850 TIDEWATER DR, SUITE A, NORFOLK, VA 23504-3300
(757) 533-9242
(757) 533-9634
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701003230
VA
1041C0700X
Clinical Social Worker
Primary
0904002584
VA
1041C0700X
Clinical Social Worker
0904004473
VA
1041C0700X
Clinical Social Worker
0904005849
VA
1041C0700X
Clinical Social Worker
—
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Other
Enumeration date
09/24/2008
Last updated
03/23/2009
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