A Phoenix Life Counseling & Consulting Services

Organization Active NPI Mental Health Counselor · Portsmouth, VA

NPI 1346065281 · NPPES record last updated Nov 26, 2024

Key facts

NPI
1346065281
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
A PHOENIX LIFE COUNSELING & CONSULTING SERVICES
Practice address
18 Chippewa TRL
Portsmouth, VA 23701-2412
Phone
(757) 713-2014
Fax
(757) 392-0702
NPI assigned
Nov 16, 2024
Organization subpart
No

Authorized official

Name
Danielle Malena Hulse, LPC
Title
Owner
Phone
(757) 713-2014

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

18 Chippewa TRL
Portsmouth, VA 23701-2412

Mailing address

18 Chippewa TRL
Portsmouth, VA 23701-2412
Phone (757) 713-2014

Other providers in Portsmouth, VA

All providers in Portsmouth, VA · Mental Health Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.