D'vine Intervention Counseling Center
NPI #1215323274 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1215323274
- Entity Type
- Organization
- Organization Name
- D'vine Intervention Counseling Center
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 7, 2015
- Last Updated
- Apr 14, 2015
Practice Location
- Address
- 2424 OAK STREET
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 27870
- Phone
- (252) 673-3196
Authorized Official
- Name
- LETESHA RENEE' GIBSON, LPC
- Title
- CHRISTIAN THERAPIST/OWNER
- Phone
- (252) 673-3196
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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