Painted Bird Psychotherapy LLC
NPI #1982219044 in Gloucester, Virginia
Provider Information
- NPI Number
- 1982219044
- Entity Type
- Organization
- Organization Name
- Painted Bird Psychotherapy LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Sep 14, 2020
- Last Updated
- Jan 28, 2023
Practice Location
- Address
- 4303 CAPPAHOSIC RD
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-3300
- Phone
- (757) 524-2124
Authorized Official
- Name
- DESIREE DEVONNE SMITH, LCSW
- Title
- OWNERR
- Phone
- (757) 214-2934
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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