Organization
EVERGLOW COUNSELING COLLECTIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNA SKIDMORE LPC (LICENSED PROFESSIONAL COUNSELOR)
(276) 220-0731
Entity
Organization
Contact information
Practice address
6615 W MAIN ST, WISE, VA 24293-7115
(276) 207-8316
Mailing address
1069 CROOKED BR, HAYSI, VA 24256-5108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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