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Organization

RESTORATIVE PSYCHOTHERAPY & WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL TANT (CREDENTIALING COORDINATOR)
(757) 650-4256
Entity
Organization

Contact information

Practice address
3630 S PLAZA TRL STE 150A, VIRGINIA BEACH, VA 23452-3371
(757) 568-5582
Mailing address
2301 BEACH HAVEN DR APT 104, VIRGINIA BEACH, VA 23451-1255
(757) 568-5582

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/14/2019
Last updated
05/14/2019
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