Organization
ELEMENTAL EXPRESSIVE ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH D PENSTON LPC, ATR-BC, EXAT (OWNER)
(757) 524-1357
Entity
Organization
Contact information
Practice address
1601 COUNTRYSIDE DR, RINGGOLD, VA 24586-4417
(757) 524-1357
(757) 296-0837
Mailing address
8227 OLD OCEAN VIEW RD, NORFOLK, VA 23518-2748
(757) 434-2644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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