| Licensed Professional Counseling Services, Llc | |
|
1545 Crossways Blvd Chesapeake VA 23320-0205 | |
| (757) 309-1405 | |
| Not Available |
| Full Name | Licensed Professional Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1545 Crossways Blvd, Chesapeake, Virginia |
| Authorized Official Name and Position | Kim Richardson (CREDENTIALING) |
| Authorized Official Contact | 7579072567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Licensed Professional Counseling Services, Llc 1545 Crossways Blvd Chesapeake VA 23320-0205 Ph: (757) 309-1405 | Licensed Professional Counseling Services, Llc 1545 Crossways Blvd Chesapeake VA 23320-0205 Ph: (757) 309-1405 |
| NPI Number | 1750993887 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750993887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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