| Self Love Outpatient Services | |
|
306 Turner Rd Ste A-b North Chesterfield VA 23225-6432 | |
| (631) 805-3257 | |
| Not Available |
| Full Name | Self Love Outpatient Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 306 Turner Rd Ste A-b, North Chesterfield, Virginia |
| Authorized Official Name and Position | Greogory D Marcelle (CEO) |
| Authorized Official Contact | 6318053257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Love Outpatient Services 5927 Belston Ct North Chesterfield VA 23234-3214 Ph: (631) 805-3257 | Self Love Outpatient Services 306 Turner Rd Ste A-b North Chesterfield VA 23225-6432 Ph: (631) 805-3257 |
| NPI Number | 1033981618 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033981618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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