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Organization

GIFT OF THERAPY AND CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOROTHY MOORE LPC, ACS (OWNER)
(757) 419-1871
Entity
Organization

Contact information

Practice address
317 OFFICE SQUARE LN STE B102, VIRGINIA BEACH, VA 23462-3650
(757) 419-1871
(757) 419-1871
Mailing address
4240 PORTSMOUTH BLVD STE 425, CHESAPEAKE, VA 23321-2129
(757) 419-1871
(757) 419-1871

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0701005610
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700213766
VA
Enumeration date
09/27/2017
Last updated
09/27/2017
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