Healthcare Provider Details

I. General information

NPI: 1003751702
Provider Name (Legal Business Name): SACRED CIRCLE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4661 BOXFORD RD
VIRGINIA BEACH VA
23456-4872
US

IV. Provider business mailing address

1832 KEMPSVILLE RD STE 1121166
VIRGINIA BEACH VA
23464-6861
US

V. Phone/Fax

Practice location:
  • Phone: 757-276-1242
  • Fax:
Mailing address:
  • Phone: 757-276-1242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ESTRELLA STANELLE NESBIT
Title or Position: DIRECTOR
Credential:
Phone: 559-308-5186