Provider Demographics
NPI:1346646759
Name:UNITED COUNSELING SERVICES
Entity Type:Organization
Organization Name:UNITED COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-318-9271
Mailing Address - Street 1:9520 IRON BRIDGE RD
Mailing Address - Street 2:SUITE 21A
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-6455
Mailing Address - Country:US
Mailing Address - Phone:804-318-9271
Mailing Address - Fax:804-318-9332
Practice Address - Street 1:9520 IRON BRIDGE RD
Practice Address - Street 2:SUITE 21A
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-6455
Practice Address - Country:US
Practice Address - Phone:804-318-9271
Practice Address - Fax:804-318-9332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1977251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health