| Prominent Counseling Services, Llc | |
|
555 Southlake Blvd Ste D North Chesterfield VA 23236-3060 | |
| (434) 222-0823 | |
| (866) 216-5506 |
| Full Name | Prominent Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 555 Southlake Blvd Ste D, North Chesterfield, Virginia |
| Authorized Official Name and Position | Angela Frederick (CEO) |
| Authorized Official Contact | 4342220823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prominent Counseling Services, Llc 555 Southlake Blvd Ste D North Chesterfield VA 23236-3060 Ph: (804) 716-8908 | Prominent Counseling Services, Llc 555 Southlake Blvd Ste D North Chesterfield VA 23236-3060 Ph: (434) 222-0823 |
| NPI Number | 1447005343 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 04/23/2024 |
| Certification Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447005343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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