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

Rewired Canvas Psychotherapy LLC

Organization Professional Counselor · NPI 1457171563

Rewired Canvas Psychotherapy LLC is a Professional Counselor in Norfolk, Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2200 Colonial Ave Ste 12
Norfolk, VA 23517-1919
Phone: (757) 589-3498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Art Therapist Taxonomy 221700000X

Record details

NPI number1457171563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Kruk-Borisov — Owner / Manager · (757) 589-3498
NPI enumeratedOctober 14, 2024
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address2200 Colonial Ave Ste 12, Norfolk, VA 23517-1919

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