Provider Demographics
NPI:1043803414
Name:BLUE SKIES COUNSELING COACHING CONSULTING, LLC
Entity Type:Organization
Organization Name:BLUE SKIES COUNSELING COACHING CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAPRI
Authorized Official - Middle Name:M
Authorized Official - Last Name:TOPHOVEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:757-276-1009
Mailing Address - Street 1:968 SCENIC BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-7321
Mailing Address - Country:US
Mailing Address - Phone:757-276-1009
Mailing Address - Fax:757-760-3213
Practice Address - Street 1:968 SCENIC BLVD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-7321
Practice Address - Country:US
Practice Address - Phone:757-276-1009
Practice Address - Fax:757-760-3213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty