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

Leave Your Mark Life Coaching

Organization Cognitive & Behavioral Psychologist · NPI 1699551507

Leave Your Mark Life Coaching is a Cognitive & Behavioral Psychologist in Virginia Beach, Virginia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

762 Independence Blvd Ste 786
Virginia Beach, VA 23455-6200
Phone: (757) 493-1514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X

Record details

NPI number1699551507
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nickolas Nichols — Lmft/Owner · (757) 493-1514
NPI enumeratedSeptember 6, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing address762 Independence Blvd Ste 786, Virginia Beach, VA 23455-6200

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