Organization
ASPIRE PROFESSIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KINISHA GREENE MSW (DIRECTOR)
(757) 344-0127
Entity
Organization
Contact information
Practice address
4605 PEMBROKE LAKE CIR, 103, VIRGINIA BEACH, VA 23455-6434
(757) 344-0127
(757) 648-1361
Mailing address
PO BOX 2172, NORFOLK, VA 23501-2172
(757) 648-1361
(757) 648-1361
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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