Provider Demographics
NPI:1619549060
Name:HIBISCUS THERAPY AND CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:HIBISCUS THERAPY AND CONSULTING SERVICES, LLC
Other - Org Name:HIBISCUS THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/LICENSED PROFESSIONAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:SELEANA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-287-8012
Mailing Address - Street 1:780 LYNNHAVEN PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7332
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:780 LYNNHAVEN PKWY STE 400
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7332
Practice Address - Country:US
Practice Address - Phone:757-287-8012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty