Provider Demographics
NPI:1154856656
Name:KAIROS COUNSELING
Entity Type:Organization
Organization Name:KAIROS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CONORD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:540-220-8673
Mailing Address - Street 1:308 WOLFE ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5925
Mailing Address - Country:US
Mailing Address - Phone:540-370-6983
Mailing Address - Fax:540-427-7912
Practice Address - Street 1:308 WOLFE ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5925
Practice Address - Country:US
Practice Address - Phone:540-370-6983
Practice Address - Fax:540-427-7912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-22
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006733101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty