Organization
SALT & LIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA REDMAN LPC (OWNER/PRACTITIONER)
(718) 213-0962
Entity
Organization
Contact information
Practice address
1021 EDEN WAY N STE 118, CHESAPEAKE, VA 23320-2776
(757) 844-9809
Mailing address
1021 EDEN WAY N STE 118, CHESAPEAKE, VA 23320-2776
(757) 844-9809
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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