| Community Counseling Group | |
|
230 S Crater Rd Petersburg VA 23803-4424 | |
| (804) 381-9052 | |
| Not Available |
| Full Name | Community Counseling Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 230 S Crater Rd, Petersburg, Virginia |
| Authorized Official Name and Position | Ricky Joseph Scott (CEO) |
| Authorized Official Contact | 8043819052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Group 230 S Crater Rd Petersburg VA 23803-4424 Ph: (804) 381-9052 | Community Counseling Group 230 S Crater Rd Petersburg VA 23803-4424 Ph: (804) 381-9052 |
| NPI Number | 1518310291 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 12/09/2021 |
| Certification Date | 12/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518310291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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