Organization
LEE SPARROW HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE NICOLE SMITH LPC (FOUNDER AND EXECUTIVE DIRECTOR)
(757) 828-6301
Entity
Organization
Contact information
Practice address
3608 BOSUN DR, CHESAPEAKE, VA 23321-3310
(757) 828-6301
Mailing address
3608 BOSUN DR, CHESAPEAKE, VA 23321-3310
(757) 828-6301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30018117570001
—
VA
Enumeration date
09/27/2023
Last updated
01/30/2025
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