Organization
KELLY SNOW THERAPY PLLC
Active
Other names
In Bloom Counseling for Women
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SNOW-HEINZ LPC (OWNER OF PLLC)
(540) 229-4920
Entity
Organization
Contact information
Practice address
8452 RENALDS AVE, MARSHALL, VA 20115-3755
(540) 229-4920
Mailing address
332 W LEE HWY # 237, WARRENTON, VA 20186-2428
(540) 229-4920
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701010251
LPC LICENSE
VA
01
—
1942892054
NPI 1
VA
01
—
LICENSE
0701010251
VA
Enumeration date
09/02/2022
Last updated
09/02/2022
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