| NPI | 1083373740 |
|---|---|
| Doing Business As | SUPREME HEALING PSYCHOLOGICAL SERVICES, PLLC. |
| Entity Type | Organization |
| Authorized Contact | CHIQUITA COLLINS Provider 757-933-5386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2024-07-08 |