ETHEREAL TOUCH LLC NPI 1053109694

NPI Information

  • NPI: 1053109694
  • Provider Name: ETHEREAL TOUCH LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 999 TIDEWATER DRIVE
    SUITE 2525
    NORFOLK, VA
    ZIP 23510
  • Phone: (757) 335-6176

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NPI Details

ETHEREAL TOUCH LLC is a mental health counselor in Norfolk, VA. ETHEREAL TOUCH LLC NPI is 1053109694. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

999 TIDEWATER DRIVE
SUITE 2525
NORFOLK, VA
ZIP 23510
Phone: (757) 335-6176

The provider's authorized official is Lynesha Womble .
The authorized official title is Lpc and has the following contact phone number (434) 483-1081.

The enumeration date for this NPI number is 4/25/2025 and was last updated on 10/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1374J00000XDoulaNo
2101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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