NPI Code Details Logo

NPI 1861288391

NPI 1861288391 : ARLERRY THERAPY & WELLNESS, LLC : CHESAPEAKE, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1861288391
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ARLERRY THERAPY & WELLNESS, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/21/2025
-----------------------------------------------------
    Last Update Date     |    04/21/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    103 WATSON RD 
-----------------------------------------------------
    City                 |    CHESAPEAKE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    23320-3928
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    240-502-6072
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    103 WATSON RD 
-----------------------------------------------------
    City                 |    CHESAPEAKE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    23320-3928
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    240-502-6072
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/CEO
-----------------------------------------------------
    Name                 |     ANDREA JEANNE WILLIAMS 
-----------------------------------------------------
    Credential           |    COUNSELOR
-----------------------------------------------------
    Telephone            |    240-502-6072
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.