Provider Demographics
NPI:1316618648
Name:LAURA GARIBAY
Entity type:Organization
Organization Name:LAURA GARIBAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INDIVIDUAL AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARIBAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-453-3282
Mailing Address - Street 1:934 HARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1512
Mailing Address - Country:US
Mailing Address - Phone:757-453-3282
Mailing Address - Fax:757-257-8447
Practice Address - Street 1:821 W 21ST ST STE 207
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1500
Practice Address - Country:US
Practice Address - Phone:757-453-3282
Practice Address - Fax:757-257-8447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty