Provider Demographics
NPI:1295194991
Name:INTEGRITY COUNSELING CENTER, LLC.
Entity Type:Organization
Organization Name:INTEGRITY COUNSELING CENTER, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:ARIANNA
Authorized Official - Last Name:MAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-833-3323
Mailing Address - Street 1:12220 CHATTANOOGA PLZ
Mailing Address - Street 2:SUITE 112
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4865
Mailing Address - Country:US
Mailing Address - Phone:804-833-3323
Mailing Address - Fax:804-482-2848
Practice Address - Street 1:1518 WILLOW LAWN DR
Practice Address - Street 2:SUITE 210
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3419
Practice Address - Country:US
Practice Address - Phone:804-833-3323
Practice Address - Fax:804-482-2848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty