Organization
BEACH LIFE COUNSELING & CONSULTING SERVICES, PLLC
Active
Other names
Beach Life Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE CARRELS-ZELLER MS, LPC, NCC (OWNER - PRIVATE PRACTICE COUNSELING)
(757) 837-2483
Entity
Organization
Contact information
Practice address
576 N BIRDNECK RD STE 631, VIRGINIA BEACH, VA 23451-6374
(757) 837-2483
Mailing address
576 N BIRDNECK RD STE 631, VIRGINIA BEACH, VA 23451-6374
(757) 837-2483
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004811
VA
101YP2500X
Professional Counselor
6608-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376793083
NPI - TYPE 1
—
Enumeration date
10/23/2017
Last updated
10/23/2017
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