Organization
BUILDING LIVES IN UNISON, INC
Active
Other names
B.L.U. Heals
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP MAURICE RIDDICK LCSW (PRESIDENT)
(757) 679-2583
Entity
Organization
Contact information
Practice address
2121B KELLER AVE, NORFOLK, VA 23504-3106
(757) 679-2583
Mailing address
2655 TIDEWATER DR UNIT 7644, NORFOLK, VA 23509-1294
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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