Provider Demographics
NPI:1184203069
Name:VWL COUNSELING & CONSULTING, LLC
Entity Type:Organization
Organization Name:VWL COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN-LILLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-822-9139
Mailing Address - Street 1:215 RESERVOIR LN # 169
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-4456
Mailing Address - Country:US
Mailing Address - Phone:757-822-9139
Mailing Address - Fax:
Practice Address - Street 1:900 GRANBY ST STE 218
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2568
Practice Address - Country:US
Practice Address - Phone:757-822-9139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty