| Greater Minds, Llc | |
|
215 Reservoir Ln Suffolk VA 23434-4456 | |
| (757) 822-9139 | |
| Not Available |
| Full Name | Greater Minds, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 215 Reservoir Ln, Suffolk, Virginia |
| Authorized Official Name and Position | Vonda Latoyisha Warren-lilly (OWNER) |
| Authorized Official Contact | 7578229139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Minds, Llc 1024 Centerbrooke Ln Ste F #169 Suffolk VA 23434-8294 Ph: (757) 822-9139 | Greater Minds, Llc 215 Reservoir Ln Suffolk VA 23434-4456 Ph: (757) 822-9139 |
| NPI Number | 1184203176 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 04/06/2021 |
| Certification Date | 04/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184203176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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