Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Be Bold Therapeutic Services

Organization Counselor · NPI 1558105718

Be Bold Therapeutic Services is a Counselor in Virginia Beach, Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

1100 Fort Sumter Ct
Virginia Beach, VA 23453-3108
Phone: (757) 739-5522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1558105718
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cathy Quinn-Samuel — Ceo · (757) 739-5522
NPI enumeratedJune 22, 2024
Last updated in NPPESJune 22, 2024
Certification dateJune 22, 2024
Mailing address1100 Fort Sumter Ct, Virginia Beach, VA 23453-3108

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