| Leaves Of Change Counseling Llc | |
|
1420 Mary Ave Norfolk VA 23502-2211 | |
| (757) 656-9281 | |
| Not Available |
| Full Name | Leaves Of Change Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1420 Mary Ave, Norfolk, Virginia |
| Authorized Official Name and Position | Elizabeth Carrano (OWNER) |
| Authorized Official Contact | 7576569281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leaves Of Change Counseling Llc 440 Monticello Ave Ste 1802 Norfolk VA 23510-2670 Ph: (757) 656-9281 | Leaves Of Change Counseling Llc 1420 Mary Ave Norfolk VA 23502-2211 Ph: (757) 656-9281 |
| NPI Number | 1982423844 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982423844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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