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Organization

BOLD RULER, LLC

Active
Other names
Summit Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA S. MALONEY LPC, LMFT (OWNER/CLINICIAN)
(757) 472-1379
Entity
Organization

Contact information

Practice address
821 W 21ST ST STE 209, NORFOLK, VA 23517-1500
(757) 280-1777
(757) 585-3521
Mailing address
208 BURLEIGH AVE, NORFOLK, VA 23505-3413
(757) 472-1379

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
Primary
106H00000X
Marriage & Family Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010001625
VA
01
0701003466
LPC
VA
01
0717001169
LMFT
VA
Enumeration date
02/24/2019
Last updated
09/07/2023
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