Healthcare Provider Details

I. General information

NPI: 1386008126
Provider Name (Legal Business Name): KAJ DEBORAH KAYIJ-WINT LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2016
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 S INDEPENDENCE BLVD, STE 202
VIRGINIA BEACH VA
23452-1150
US

IV. Provider business mailing address

505 S INDEPENDENCE BLVD, STE 202
VIRGINIA BEACH VA
23452-1150
US

V. Phone/Fax

Practice location:
  • Phone: 404-502-1236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717002087
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT.LF.60465812
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: