Black Couch Therapy LLC
Counselor, Mental Health in Newport News, VA. Organization (NPI-2).
NPI number1689371981
StatusActive
Last updated in NPPESJan 9, 2024
Details
- NPI
- 1689371981
- Entity type
- Organization (NPI-2)
- Legal business name
- Black Couch Therapy LLC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2023
- Certification date
- Jan 9, 2024
- Last updated
- Jan 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Black Couch Therapy (Former Legal Business Name)
Practice location
739 Thimble Shoals Blvd Bldg 704Newport News, VA 23606-3562
Phone 757-272-6330 · Fax 757-765-7709
Mailing address
739 Thimble Shoals Blvd Bldg 704Newport News, VA 23606-3562
Phone 757-272-6330
Authorized official
Tesia S Heard
Ceo
7572726330
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