| NPI | 1699551507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKOLAS NICHOLS Lmft/Owner 757-493-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |