Healthcare Provider Details

I. General information

NPI: 1538006911
Provider Name (Legal Business Name): CEDAR POINT THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 06/28/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6052 PROVIDENCE RD
VIRGINIA BEACH VA
23464-3816
US

IV. Provider business mailing address

3448 S CRESTLINE DR
VIRGINIA BEACH VA
23464-1812
US

V. Phone/Fax

Practice location:
  • Phone: 417-291-3567
  • 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: PAULA ELKIN
Title or Position: OWNER/LPC
Credential: LPC
Phone: 417-291-3567