Provider Demographics
NPI:1063670354
Name:SINSABAUGH CONSULTING SERVICES, PC
Entity Type:Organization
Organization Name:SINSABAUGH CONSULTING SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR LPC
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SINSABAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:804-262-0571
Mailing Address - Street 1:4801 HERMITAGE RD STE 20
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-3332
Mailing Address - Country:US
Mailing Address - Phone:804-262-0571
Mailing Address - Fax:804-262-5937
Practice Address - Street 1:4801 HERMITAGE RD STE 20
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-3332
Practice Address - Country:US
Practice Address - Phone:804-262-0571
Practice Address - Fax:804-262-5937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD001735101Y00000X
VA0701-00000036101YP2500X
NC2104101YP2500X
WV1377101YP2500X
VA0717-000060106H00000X
VA0715-000035171M00000X
VA09-574058251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty