Healthcare Provider Details

I. General information

NPI: 1346006061
Provider Name (Legal Business Name): TRANSFORMATIVE REFUGE COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CONSTITUTION DR STE 101
VIRGINIA BEACH VA
23462-3479
US

IV. Provider business mailing address

2 CONSTITUTION DR STE 101
VIRGINIA BEACH VA
23462-3479
US

V. Phone/Fax

Practice location:
  • Phone: 757-993-2360
  • Fax: 757-551-2241
Mailing address:
  • Phone: 757-993-2360
  • Fax: 757-551-2241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANNA MARIA GONZALEZ-HARDY
Title or Position: OWNER AND COUNSELOR
Credential: LPC/LMHC
Phone: 757-993-2360