Self Love Outpatient Services
NPI #1033981618 in North Chesterfield, Virginia
Provider Information
- NPI Number
- 1033981618
- Entity Type
- Organization
- Organization Name
- Self Love Outpatient Services
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 26, 2023
- Last Updated
- Oct 26, 2023
Practice Location
- Address
- 306 TURNER RD STE A-B
- State
- Virginia
- ZIP Code
- 23225-6432
- Phone
- (631) 805-3257
Authorized Official
- Name
- DR. GREOGORY D MARCELLE JR., M.ED., LPC, CAADC
- Title
- CEO
- Phone
- (631) 805-3257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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