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Organization

SELF ACTUALIZATION COUNSELING SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RONEIKO HENDERSON-BEASLEY CSTOP, CSAC, ADC (OWNER)
(757) 287-4990
Entity
Organization

Contact information

Practice address
900 COMMONWEALTH PL, SUITE 200-343, VIRGINIA BEACH, VA 23464-4517
(757) 287-4990
Mailing address
PO BOX 56555, VIRGINIA BEACH, VA 23456-9555
(757) 287-4990

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/28/2013
Last updated
05/28/2013
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