Diva,llc

NPI #1992528715 in Suffolk, Virginia

Provider Information

NPI Number: 1992528715
Entity Type: Organization
Organization Name: Diva,llc
Primary Specialty: Counselor - Professional
Enumeration Date: Nov 1, 2024
Last Updated: Nov 1, 2024

Practice Location

Address: 1024 CENTER BROOKE LANE
Address 2: F427
City: Suffolk
State: Virginia
ZIP Code: 23434
Phone: (540) 446-9877

Authorized Official

Name: MS. PATRICIA CLARK, LPC
Title: OWNER
Phone: (540) 446-9877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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