Organization
MINDWELL
Active
Other names
MindWell
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY DUCKETT PHD (OWNER)
(757) 577-5857
Entity
Organization
Contact information
Practice address
1821 QUIVERS KEEP, CHESAPEAKE, VA 23321-1438
(757) 577-5857
Mailing address
1821 QUIVERS KEEP, CHESAPEAKE, VA 23321-1438
(757) 577-5857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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