| NPI | 1104278142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE FRAZIER Owner/Manager 757-645-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701005793) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001312) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2024-04-26 |