Organization
PROFOUND PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEAKA BLACKWELL BS (CEO)
(434) 429-0024
Entity
Organization
Contact information
Practice address
641 UPPER ST, DANVILLE, VA 24541-1031
(434) 288-7805
(434) 228-7813
Mailing address
641 UPPER ST, DANVILLE, VA 24541-1031
(434) 288-7805
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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