Footprint, LLC
NPI #1568967800 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1568967800
- Entity Type
- Organization
- Organization Name
- Footprint, LLC
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Mar 28, 2018
- Last Updated
- Mar 28, 2018
Practice Location
- Address
- 5728 CONSTANCE CT
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23462-1063
- Phone
- (757) 339-7799
Authorized Official
- Name
- FITZROY SMITH
- Title
- PRESIDENT
- Phone
- (757) 339-7799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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