NPI 1588086177

Self Actualization Counseling Services, LLC

Organisation Health Maintenance Organization Virginia Beach, VA

Practice location

Address: 3500 Virginia Beach Blvd Suite 210, Virginia Beach, VA 23452-4445
Phone: (757) 233-1900

Authorised official

Name: Roneiko Henderson-Beasley
Title: Owner/Director
Phone: (757) 287-4990

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 0904008490 (VA)

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Registry record

NPI: 1588086177
Entity type: Organization
NPI issued: 15 Jan 2014
Record last updated: 15 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.