BE BOLD THERAPEUTIC SERVICES NPI 1558105718

NPI Information

  • NPI: 1558105718
  • Provider Name: BE BOLD THERAPEUTIC SERVICES
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1100 FORT SUMTER CT
    VIRGINIA BEACH, VA
    ZIP 23453
  • Phone: (757) 739-5522

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NPI Details

BE BOLD THERAPEUTIC SERVICES is a professional counselor in Virginia Beach, VA. BE BOLD THERAPEUTIC SERVICES NPI is 1558105718. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1100 FORT SUMTER CT
VIRGINIA BEACH, VA
ZIP 23453-108
Phone: (757) 739-5522

The provider's authorized official is Cathy Quinn-samuel .
The authorized official title is Ceo and has the following contact phone number (757) 739-5522.

The enumeration date for this NPI number is 6/22/2024 and was last updated on 6/22/2024.

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
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalYes

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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