Organization
REWILD, PLLC
Active
Other names
Rewild Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELESTE KELLY PSY.D. (OWNER, CLINICAL PSYCHOLOGIST)
(240) 753-2583
Entity
Organization
Contact information
Practice address
401 NORTH 27TH ST, RICHMOND, VA 23223
(240) 753-2583
Mailing address
5806 GROVE AVE # 122, RICHMOND, VA 23226-2630
(240) 753-2583
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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