Provider Demographics
NPI:1114390838
Name:COUNSELING AND COPING STRATEGIES LLC
Entity Type:Organization
Organization Name:COUNSELING AND COPING STRATEGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:ANDREE
Authorized Official - Last Name:ZIMMER-FORSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LICSW, CSW-G
Authorized Official - Phone:703-338-4848
Mailing Address - Street 1:10104 WALKER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-3502
Mailing Address - Country:US
Mailing Address - Phone:703-338-4848
Mailing Address - Fax:
Practice Address - Street 1:10104 WALKER LAKE DR
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:VA
Practice Address - Zip Code:22066-3502
Practice Address - Country:US
Practice Address - Phone:703-338-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040061391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty