Supportive Solution LLC

NPI #1124679147 in Petersburg, Virginia

Provider Information

NPI Number: 1124679147
Entity Type: Organization
Organization Name: Supportive Solution LLC
Primary Specialty: Counselor
Enumeration Date: Sep 20, 2019
Last Updated: Sep 20, 2019

Practice Location

Address: 325B BROWN ST
City: Petersburg
State: Virginia
ZIP Code: 23803-4247
Phone: (804) 442-6298

Authorized Official

Name: SHELBY HARRIS
Title: OWNER
Phone: (434) 603-1646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Psychologist - Counseling — Counseling	103TC1900X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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