Organization
COASTAL ART THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA THOMAS LPC, ATR-BC (MEMBER)
(916) 397-8041
Entity
Organization
Contact information
Practice address
900 GRANBY ST STE 206, NORFOLK, VA 23510-2567
(757) 756-5254
Mailing address
900 GRANBY ST STE 206, NORFOLK, VA 23510-2567
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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