THERAPEUTIC IN HOME COUNSELING NPI 1063669414

NPI Information

NPI: 1063669414
Provider Name: THERAPEUTIC IN HOME COUNSELING
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1949 VESONDER RD
PETERSBURG, VA
ZIP 23805
Phone: (804) 640-2101
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THERAPEUTIC IN HOME COUNSELING is a mental health counselor in Petersburg, VA. THERAPEUTIC IN HOME COUNSELING NPI is 1063669414. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1949 VESONDER RD
PETERSBURG, VA
ZIP 23805-933
Phone: (804) 640-2101
Fax: (877) 879-6336

The provider's authorized official is Lisa Smith .
The authorized official title is House Supervisor and has the following contact phone number (804) 640-2101.

The enumeration date for this NPI number is 8/27/2008 and was last updated on 11/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	1261	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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