Provider Demographics
NPI:1346609674
Name:WILKINS AND ASSOCIATES COUNSELING GROUP, LLC
Entity Type:Organization
Organization Name:WILKINS AND ASSOCIATES COUNSELING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-519-1463
Mailing Address - Street 1:PO BOX 1346
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-8346
Mailing Address - Country:US
Mailing Address - Phone:804-519-1463
Mailing Address - Fax:
Practice Address - Street 1:213 LANCASTER GATE LN APT 206
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-6898
Practice Address - Country:US
Practice Address - Phone:804-519-1463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904009178251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health