Healthcare Provider Details

I. General information

NPI: 1861288391
Provider Name (Legal Business Name): ARLERRY THERAPY & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 04/21/2025
Certification Date: 04/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 WATSON RD
CHESAPEAKE VA
23320-3928
US

IV. Provider business mailing address

103 WATSON RD
CHESAPEAKE VA
23320-3928
US

V. Phone/Fax

Practice location:
  • Phone: 240-502-6072
  • Fax:
Mailing address:
  • Phone: 240-502-6072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDREA JEANNE WILLIAMS
Title or Position: OWNER/CEO
Credential: COUNSELOR
Phone: 240-502-6072