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SUMARA WIGGINS LLC NPI 1821704719


NPI Information

NPI: 1821704719
Provider Name: SUMARA WIGGINS LLC

Doing Business As: JOURNEY THERAPEUTIC SERVICES

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1905 HUGUENOT RD STE 306
NORTH CHESTERFIELD, VA
ZIP 23235
Phone: (804) 301-3424
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SUMARA WIGGINS LLC is a mental health counselor in North Chesterfield, VA. SUMARA WIGGINS LLC NPI is 1821704719. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Journey Therapeutic Services.

The provider's business location address is:

1905 HUGUENOT RD STE 306
NORTH CHESTERFIELD, VA
ZIP 23235-312
Phone: (804) 301-3424

The provider's authorized official is Sumara Keyanna Wiggins .
The authorized official title is Clinician/owner and has the following contact phone number (804) 301-3424.

The enumeration date for this NPI number is 1/25/2023 and was last updated on 11/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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