Provider Demographics
NPI:1033784574
Name:ARTIS, SATRINA YVETTE (LPC)
Entity Type:Individual
Prefix:
First Name:SATRINA
Middle Name:YVETTE
Last Name:ARTIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SATRINA
Other - Middle Name:YVETTE
Other - Last Name:WATKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1000 COMMERCIAL LN
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8148
Mailing Address - Country:US
Mailing Address - Phone:757-925-2484
Mailing Address - Fax:
Practice Address - Street 1:1000 COMMERCIAL LN
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-8148
Practice Address - Country:US
Practice Address - Phone:757-925-2484
Practice Address - Fax:757-925-2205
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010516101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional