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Organization

A STEP TO HEALING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CANDICE TANYA DOUGLAS LPC (OWNER)
(757) 359-8144
Entity
Organization

Contact information

Practice address
116 INDEPENDENCE CT, SUFFOLK, VA 23434-2369
(757) 359-8144
Mailing address
116 INDEPENDENCE CT, SUFFOLK, VA 23434-2369
(757) 359-8144

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
323P00000X
Psychiatric Residential Treatment Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1962007740
VA
Enumeration date
10/21/2022
Last updated
11/05/2025
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