Healthcare Provider Details

I. General information

NPI: 1366220261
Provider Name (Legal Business Name): KULTURA WELLNESS AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2023
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4646 PRINCESS ANNE RD STE 104
VIRGINIA BEACH VA
23462-6464
US

IV. Provider business mailing address

249 W FREEMASON ST APT 304
NORFOLK VA
23510-1353
US

V. Phone/Fax

Practice location:
  • Phone: 757-840-6098
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. MELODY AGBISIT
Title or Position: OWNER
Credential: PHD, LPC
Phone: 757-332-2122