# ATLANTIC FAMILY AND ADOLESCENT THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457886798
- **Authorized official:** MS. CARMEN WOLF LMFT (OWNER)
- **Authorized official phone:** (757) 650-5346

## Contact information

- **Practice address:** 1120 LASKIN RD, SUITE 104, VIRGINIA BEACH, VA 23451-5273
- **Practice address phone:** (757) 650-5346
- **Mailing address:** 1120 LASKIN RD, SUITE 104, VIRGINIA BEACH, VA 23451-5273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 0717001347 | VA | Yes |

## Other

- **Enumeration date:** 04/24/2017
- **Last updated:** 04/24/2017