OrganizationActive
Leave Your Mark Life Coaching
NPI 1699551507 · Counseling Psychologist · Virginia Beach, VA
Provider details
- NPI number
- 1699551507
- Entity type
- Organization
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Nickolas Nichols, Lmft/Owner(757) 493-1514
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
Practice location
762 Independence Blvd Ste 786
Virginia Beach, VA 23455-6200
Phone: (757) 493-1514
Approximate (ZIP-level) locationGet directions
Mailing address
762 Independence Blvd Ste 786
Virginia Beach, VA 23455-6200
Registry dates
- Enumerated
- 2023-09-06
- Last updated
- 2023-09-06
- Certified
- 2023-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.