Organization
BOSS INNER CHILD COUNSELING, LLC
Active
Organization
BOSS INNER CHILD COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. INGRID MARIE BORNIA LCSW, BCD (OWNER AND CEO)
(757) 893-0321
Entity
Organization
Contact information
Practice address
14203 OLD COURTHOUSE WAY, SUITE B, NEWPORT NEWS, VA 23602
(757) 893-0321
Mailing address
110 COLISEUM CROSSING, #138, HAMPTON, VA 23666-5962
(757) 893-0321
Taxonomy
Speciality
Code
Description
License number
State
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
05/20/2019
Last updated
05/20/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up