Organization
COLOR PURPLE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKOYA HICKS (OWNER)
(540) 226-5733
Entity
Organization
Contact information
Practice address
2 LAFAYETTE ST, STAFFORD, VA 22554-7699
(540) 658-2820
Mailing address
2769 JEFFERSON DAVIS HWY STE 111, STAFFORD, VA 22554-8326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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