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Organization
SHORE THERAPY, LLC
Active
Organization
SHORE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY COUCH LPC, CSOTP (OWNER)
(757) 812-1443
Entity
Organization
Contact information
Practice address
639 MONROE AVE, CAPE CHARLES, VA 23310-3319
(757) 812-1443
Mailing address
639 MONROE AVE, CAPE CHARLES, VA 23310-3319
(757) 812-1443
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
08/05/2021
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