Provider Demographics
NPI:1225440522
Name:COUNSELING ASSOCIATES OF THE HIGHLANDS
Entity Type:Organization
Organization Name:COUNSELING ASSOCIATES OF THE HIGHLANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:540-965-1373
Mailing Address - Street 1:239A W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24426-1542
Mailing Address - Country:US
Mailing Address - Phone:540-965-1373
Mailing Address - Fax:540-965-1393
Practice Address - Street 1:239A W MAIN ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:VA
Practice Address - Zip Code:24426-1542
Practice Address - Country:US
Practice Address - Phone:540-965-1373
Practice Address - Fax:540-965-1393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002284101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty