| NPI | 1285321497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKIYA TAYLOR Lpc Clinician 757-453-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |