Provider Demographics
NPI:1376742486
Name:DISCOVERY COUNSELING
Entity Type:Organization
Organization Name:DISCOVERY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GOWIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:434-808-2426
Mailing Address - Street 1:1406 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-2532
Mailing Address - Country:US
Mailing Address - Phone:434-808-2637
Mailing Address - Fax:434-505-0111
Practice Address - Street 1:1406 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-2532
Practice Address - Country:US
Practice Address - Phone:434-808-2637
Practice Address - Fax:434-505-0111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004772101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty