Provider Demographics
NPI:1346250289
Name:COUNSELING AND FORENSIC SERVICES, INC.
Entity Type:Organization
Organization Name:COUNSELING AND FORENSIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDENBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-492-2994
Mailing Address - Street 1:1308 DEVILS REACH RD STE 300
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2806
Mailing Address - Country:US
Mailing Address - Phone:703-492-2994
Mailing Address - Fax:703-490-5505
Practice Address - Street 1:1308 DEVILS REACH RD
Practice Address - Street 2:SUITE 300
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2806
Practice Address - Country:US
Practice Address - Phone:703-492-2994
Practice Address - Fax:703-490-5505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001846101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1123440OtherCIGNA BEHAVIORAL HEALTH
VAA796985OtherVALUEOPTIONS
VAB346OtherBLUE CROSS BLUE SHIELD
VA8621610OtherCIGNA
VA236133OtherANTHEM
VA155872OtherMAGELLAN
VA4524032OtherAETNA
VAB346OtherBLUE CROSS BLUE SHIELD