Organization
LIFE STORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANESHIA NETTINGHAM LPC (OWNER, THERAPIST)
(757) 343-1100
Entity
Organization
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(757) 343-1100
Mailing address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(757) 343-1100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/14/2021
Last updated
03/14/2021
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