Organization
WELLVIEW SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINWOOD I WIGGINS II (OWNER)
(757) 685-4666
Entity
Organization
Contact information
Practice address
2217 COURTNEY AVE APT 2, NORFOLK, VA 23504-2625
(757) 685-4666
(757) 257-8862
Mailing address
2217 COURTNEY AVE APT 2, NORFOLK, VA 23504-2625
(757) 685-4666
(757) 257-8862
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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