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NPI Code Detail

MEDICARE: TRANSFORMATIVE REFUGE COUNSELING SERVICES, PLLC

MEDICARE: TRANSFORMATIVE REFUGE COUNSELING SERVICES, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1346006061
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSFORMATIVE REFUGE COUNSELING SERVICES, PLLC
Provider Business Mailing Address
First Line : 2 CONSTITUTION DR STE 101
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-3479
Country : US
Telephone Number : 757-993-2360
Fax Number : 757-551-2241
Provider Business Practice Location Address
First Line : 2 CONSTITUTION DR STE 101
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-3479
Country : US
Telephone Number : 757-993-2360
Fax Number : 757-551-2241
Authorized Official
Title or Position : OWNER AND COUNSELOR
Name : ANNA MARIA GONZALEZ-HARDY
Credential : LPC/LMHC
Telephone Number : 757-993-2360
Provider Enumeration Date : 02/21/2024
Last Update Date : 06/09/2026

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