| NPI | 1811621519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHANTI NEWKIRK Licensed Professional Counselor 757-553-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |