Organization
BEACH COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOU PHILLIPS (ADMINISTRATOR)
(757) 651-3003
Entity
Organization
Contact information
Practice address
1064 LASKIN RD STE 14C, VIRGINIA BEACH, VA 23451-6337
(757) 233-1500
(757) 222-3833
Mailing address
817 LINKHORN DR, VIRGINIA BEACH, VA 23451-3920
(757) 651-3003
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004521
VA
1041C0700X
Clinical Social Worker
0904009182
VA
Other
Enumeration date
10/19/2015
Last updated
07/14/2023
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