Organization · Type 2 NPI

Live Body Brave

Counselor · Norfolk, VA

NPI number 1376392464 Active

Practice location

1611 Colley Ave Ste A
Norfolk, VA 23517-1677

Call (757) 201-0509 Map

Mailing address

420 W 36th St
Norfolk, VA 23508-3206

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1376392464

Live Body Brave's National Provider Identifier is 1376392464, issued on May 13, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Norfolk, VA. The record was last updated on Jan 2, 2026.