Organization
GRACEFUL CHANGES PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAE WINTERS LPC (OWNER)
(757) 689-7971
Entity
Organization
Contact information
Practice address
1201 ROSE GALAXY LNDG #301, VIRGINIA BEACH, VA 23456
(757) 689-7971
Mailing address
1201 ROSE GALAXY LNDG APT 301, VIRGINIA BEACH, VA 23456-7773
(757) 689-7971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
11/03/2023
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