Organization
ADVOCATE FOR YOUTH AND FAMILY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DENISE LOGAN LPC (CEO)
(757) 540-1488
Entity
Organization
Contact information
Practice address
949 MALTBY AVE, NORFOLK, VA 23504-3556
(757) 550-1488
Mailing address
PO BOX 654, NORFOLK, VA 23501-0654
(757) 550-1488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/19/2023
Last updated
11/08/2023
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