Provider Demographics
NPI:1386277929
Name:THE PERFORMANCE PURSUIT
Entity type:Organization
Organization Name:THE PERFORMANCE PURSUIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAIMARE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:312-351-5982
Mailing Address - Street 1:114 PETTIGREW CT
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-5231
Mailing Address - Country:US
Mailing Address - Phone:312-351-5982
Mailing Address - Fax:
Practice Address - Street 1:5700 WARHILL TRL
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-9419
Practice Address - Country:US
Practice Address - Phone:757-253-1947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-21
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty