Organization
ADVOCATE FOR YOUTH AND FAMILY SERVICES INC.
Active
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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