Redefine Therapy, LLC
Counselor, Professional in Norfolk, VA. Organization (NPI-2).
NPI number1245936616
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1245936616
- Entity type
- Organization (NPI-2)
- Legal business name
- Redefine Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2023
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
1216 Granby St Ste 211Norfolk, VA 23510-2622
Phone 757-632-0343 · Fax 757-974-9374
Mailing address
1216 Granby St Ste 211Norfolk, VA 23510-2622
Phone 757-632-0343 · Fax 757-974-9374
Authorized official
John L Stacy
Owner/Therapist
7576320343
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