Organization
BERRINGTON WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C BERRY LCSW (SOLE MBR)
(757) 490-3996
Entity
Organization
Contact information
Practice address
141 CHEYENNE RD, VIRGINIA BEACH, VA 23462-6104
(757) 490-3996
Mailing address
141 CHEYENNE RD, VIRGINIA BEACH, VA 23462-6104
(757) 490-3996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007337
VA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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