Provider Demographics
NPI:1114170560
Name:LIFE & COMFORT COUNSELING AND CONSULTING PLLC
Entity Type:Organization
Organization Name:LIFE & COMFORT COUNSELING AND CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:F
Authorized Official - Last Name:FEREBEE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-425-0135
Mailing Address - Street 1:3601 W HUNDRED RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1901
Mailing Address - Country:US
Mailing Address - Phone:804-425-0135
Mailing Address - Fax:804-425-0134
Practice Address - Street 1:3601 W HUNDRED RD
Practice Address - Street 2:#4
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1901
Practice Address - Country:US
Practice Address - Phone:804-425-0135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004365101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty