Organization
CHARIS MENTAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAKEISHA KENETI DNP, FNP-C, RN-C (NURSE PRACTITIONER/OWNER)
(757) 922-8048
Entity
Organization
Contact information
Practice address
2470 PRUDEN BLVD, SUFFOLK, VA 23434-4206
(757) 922-8048
Mailing address
2470 PRUDEN BLVD, SUFFOLK, VA 23434-4206
(757) 922-8048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170662
VA
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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