Provider Demographics
NPI:1003540741
Name:WATCHTOWER COUNSELING LLC
Entity Type:Organization
Organization Name:WATCHTOWER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NAKEEMA
Authorized Official - Middle Name:JANAE
Authorized Official - Last Name:PATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-929-8229
Mailing Address - Street 1:1020 CABELL ST
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24504-1003
Mailing Address - Country:US
Mailing Address - Phone:804-929-8229
Mailing Address - Fax:
Practice Address - Street 1:800 SEMMES AVE APT 613
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-2366
Practice Address - Country:US
Practice Address - Phone:804-929-8229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-09
Last Update Date:2022-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty