Organization
LUCID LIVING COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY NICOLE DONOVAN LPC (MANAGER)
(309) 838-0152
Entity
Organization
Contact information
Practice address
6350 CENTER DR STE 102, NORFOLK, VA 23502-4107
(309) 838-0152
Mailing address
6312 BUCKNELL CIR, VIRGINIA BEACH, VA 23464-4420
(309) 838-0152
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/25/2024
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