NPI 1316062888 · live from the CMS NPI Registry
Damita Y Braye-Gonzalez, L.P.C., L.M.F.T.
Marriage & Family Therapist in Chesapeake, VA. National Provider Identifier 1316062888, active.
NPI record
| NPI | 1316062888 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 1101 Madison Plz, Suite 100, Chesapeake, VA 23320 |
| Practice phone | 757-548-5884 |
| Mailing address | Po Box 1182, Chesapeake, VA 23327 |
| Enumerated | March 20, 2007 |
| Last updated | September 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | 0701002336 (VA) |
| Marriage & Family Therapist primary | 106H00000X | 0717000175 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.