Psych Wise LLC

NPI #1396518387 in Wise, Virginia

Provider Information

NPI Number: 1396518387
Entity Type: Organization
Organization Name: Psych Wise LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Nov 1, 2023
Last Updated: Nov 1, 2023

Practice Location

Address: 124 BEVERLY AVE. SW
City: Wise
State: Virginia
ZIP Code: 24293
Phone: (276) 870-0917

Authorized Official

Name: MS. DORA LEE SMITH, LPC
Title: OWNER/COUNSELOR
Phone: (276) 870-0917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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