Organization
PBP PSYCHOTHERAPY LTD
Active
Other names
Peace By Piece Psychotherapy Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY TRACY MA (PRESIDENT)
(757) 769-7040
Entity
Organization
Contact information
Practice address
110 MAYCOX AVE, SUITE 3, NORFOLK, VA 23505-3433
(757) 769-7040
(757) 769-7050
Mailing address
110 MAYCOX AVE, SUITE 3, NORFOLK, VA 23505-3433
(757) 769-7040
(757) 769-7050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701004033
VA
106H00000X
Marriage & Family Therapist
Primary
0717001120
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010337411
—
VA
Enumeration date
09/30/2013
Last updated
09/30/2013
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