Organization
L.I.F.T COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUANESHA WALLACE LPC (THERAPIST/OWNER)
(804) 551-4292
Entity
Organization
Contact information
Practice address
1801 HIGH ST, PORTSMOUTH, VA 23704-3105
(804) 551-4292
Mailing address
4432 BONNEY RD UNIT 401, VIRGINIA BEACH, VA 23462-3894
(804) 551-4292
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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