Organization Active NPI

Live Body Brave

  • Counselor
  • Norfolk, VA
National Provider Identifier
1376392464
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
LIVE BODY BRAVE
Practice address
1611 Colley Ave Ste a
Norfolk, VA 23517-1677
Phone
(757) 201-0509
NPI assigned
May 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachel Micheletti, LPCNPI 1164286175
Title
Owner
Phone
(757) 681-6676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1611 Colley Ave Ste a
Norfolk, VA 23517-1677

Mailing address

420 W 36TH St
Norfolk, VA 23508-3206
Phone (757) 681-6676

National Provider Directory

National Provider Directory

Locations

139 Tilden Ave
Ste F
Chesapeake, VA 23320
Phone (577) 681-6676

1611 Colley Ave
Ste A
Norfolk, VA 23517
Phone (757) 201-0509

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1376392464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 36TH ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235083206",
            "telephone_number": "757-681-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 COLLEY AVE STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171677",
            "telephone_number": "757-201-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE BODY BRAVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "MICHELETTI",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-681-6676",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.