| Beach Life Counseling | |
|
576 N Birdneck Rd Ste 631 Virginia Beach VA 23451-6374 | |
| (757) 837-2483 | |
| Not Available |
| Full Name | Beach Life Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 576 N Birdneck Rd Ste 631, Virginia Beach, Virginia |
| Authorized Official Name and Position | Jayne Carrels-zeller (OWNER - PRIVATE PRACTICE COUNSELING) |
| Authorized Official Contact | 7578372483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Life Counseling 576 N Birdneck Rd Ste 631 Virginia Beach VA 23451-6374 Ph: (757) 837-2483 | Beach Life Counseling 576 N Birdneck Rd Ste 631 Virginia Beach VA 23451-6374 Ph: (757) 837-2483 |
| NPI Number | 1114438702 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 10/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114438702 | NPI | - | NPPES |
| 1376793083 | Other | NPI - TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701004811 (Virginia) | Primary |
| 101YP2500X | Counselor - Professional | 6608-125 (Wisconsin) | Secondary |
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