Healthcare Provider Details

I. General information

NPI: 1407783756
Provider Name (Legal Business Name): FRONT PORCH COUNSELING AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 LANDMARK SQ STE 103
VIRGINIA BEACH VA
23452-6872
US

IV. Provider business mailing address

2672 JAMES MADISON BLVD
VIRGINIA BEACH VA
23456-3471
US

V. Phone/Fax

Practice location:
  • Phone: 804-761-7798
  • Fax:
Mailing address:
  • Phone: 804-761-7798
  • Fax: 804-761-7798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN STOCK
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC, NCC
Phone: 804-761-7798