Organization
FOOTPRINTS CARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKIA A NOBLE LMHP-R (CEO, DIRECTOR)
(434) 480-2020
Entity
Organization
Contact information
Practice address
409 E MAIN ST STE 102, RICHMOND, VA 23219-3845
(804) 716-8739
(804) 597-3665
Mailing address
409 E MAIN ST STE 102, RICHMOND, VA 23219-3845
(804) 716-8739
(804) 597-3665
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
102L00000X
Psychoanalyst
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942825286
—
VA
Enumeration date
11/22/2021
Last updated
11/22/2021
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