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NPI Code Detail

MEDICARE: SALTWATER COUNSELING AND WELLNESS LLC

MEDICARE: SALTWATER COUNSELING AND WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1568175958
Entity Type Code : Organization
Provider Name (Legal Business Name) : SALTWATER COUNSELING AND WELLNESS LLC
Provider Business Mailing Address
First Line : 4319 VIRGINIA BEACH BLV
Second Line : SUITE 5079
City : VIRGINIA BEACH
State : VA
Zip : 23452
Country : US
Telephone Number : 757-952-6055
Fax Number :
Provider Business Practice Location Address
First Line : 4319 VIRGINIA BEACH BLV
Second Line : SUITE 5072
City : VIRGINIA BEACH
State : VA
Zip : 23452
Country : US
Telephone Number : 757-952-6055
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DENIELLE RIGOGLIOSO
Credential : LPC
Telephone Number : 757-952-6055
Provider Enumeration Date : 12/30/2022
Last Update Date : 03/09/2026

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Directions to “SALTWATER COUNSELING AND WELLNESS LLC ” Practice Location

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