Provider Demographics
NPI:1306204474
Name:UNLIMITED POSSIBILITIES COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:UNLIMITED POSSIBILITIES COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:LAKISHA
Authorized Official - Last Name:ROSSBARKSDALE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:434-607-1766
Mailing Address - Street 1:PO BOX 60
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-0060
Mailing Address - Country:US
Mailing Address - Phone:434-607-1766
Mailing Address - Fax:
Practice Address - Street 1:2720 LAYNE STREET EXT UNIT 2
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-3069
Practice Address - Country:US
Practice Address - Phone:434-607-1766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA17517101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty