Organization
CREATIVE SELF-LEADERSHIP & DESIGN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERES RAPREE LPC (MANAGER)
(773) 954-1678
Entity
Organization
Contact information
Practice address
1246 MEADOW LAKE RD, VIRGINIA BEACH, VA 23454-2105
(773) 954-1678
Mailing address
1246 MEADOW LAKE RD, VIRGINIA BEACH, VA 23454-2105
(773) 954-1678
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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