| Colonial Counseling Center | |
|
9844 Lori Rd Suite 100 Chesterfield VA 23832-6691 | |
| (804) 706-1111 | |
| (804) 706-1185 |
| Full Name | Colonial Counseling Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9844 Lori Rd, Chesterfield, Virginia |
| Authorized Official Name and Position | George M White (PRESIDENT, CO-OWNER) |
| Authorized Official Contact | 8047061111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Counseling Center 9844 Lori Rd Suite 100 Chesterfield VA 23832-6691 Ph: (804) 706-1111 | Colonial Counseling Center 9844 Lori Rd Suite 100 Chesterfield VA 23832-6691 Ph: (804) 706-1111 |
| NPI Number | 1497995260 |
|---|---|
| Provider Enumeration Date | 03/05/2009 |
| Last Update Date | 03/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497995260 | NPI | - | NPPES |
| 036516 | Other | VA | VALUE OPTIONS |
| 188589 | Other | VA | ANTHEM BLUE CROSS |
| 010244765 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1462 (Virginia) | Primary |
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