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Contact Information

LITTLE CREEK COUNSELING CTR
1709 COLLEY AVE
STE 311
NORFOLK, VA23517
 Phone: 757-628-8337
 Fax: 757-628-5911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LITTLE CREEK COUNSELING CTR · (Female)

NPI # 1366453482
Status Active
Credentials
Entity Individual
Enumeration date 08/11/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0810002730
  • VA Other 140543 ANTHEM BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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