Organization
OUR PATH COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIIGAA NICHOLS (OWNER)
(757) 291-3036
Entity
Organization
Contact information
Practice address
727 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1507
(757) 291-3036
(757) 595-3456
Mailing address
727 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1507
(757) 291-3036
(757) 595-3456
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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