Provider Demographics
NPI:1578381315
Name:ABSOLUTE ESSENCE THERAPY AND CONSULTING SERVICES, PLLC
Entity type:Organization
Organization Name:ABSOLUTE ESSENCE THERAPY AND CONSULTING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CLARY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-495-0310
Mailing Address - Street 1:8005 CREIGHTON PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-4594
Mailing Address - Country:US
Mailing Address - Phone:804-495-0310
Mailing Address - Fax:
Practice Address - Street 1:7486 LOU LN
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-2260
Practice Address - Country:US
Practice Address - Phone:804-495-0310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty