OrganizationActive
Self Actualization Counseling Services, LLC
NPI 1588086177 · Health Maintenance Organization · Virginia Beach, VA
Provider details
- NPI number
- 1588086177
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Roneiko Henderson-Beasley, Owner/Director(757) 287-4990
- License
- 0904008490 (VA)
Specialties & taxonomies
Managed Care Organizations
Practice location
3500 Virginia Beach Blvd
Suite 210
Virginia Beach, VA 23452-4445
Phone: (757) 233-1900
Approximate (ZIP-level) locationGet directions
Mailing address
3500 Virginia Beach Blvd
Virginia Beach, VA 23452-4445
Registry dates
- Enumerated
- 2014-01-15
- Last updated
- 2014-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.