Provider Demographics
NPI:1407585649
Name:VOTIVE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:VOTIVE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EBONI
Authorized Official - Middle Name:SHARAI
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:423-304-1202
Mailing Address - Street 1:3712 RINGGOLD RD # 91
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37412-1638
Mailing Address - Country:US
Mailing Address - Phone:423-734-3436
Mailing Address - Fax:423-734-3486
Practice Address - Street 1:8940 BAY VIEW DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37416-1511
Practice Address - Country:US
Practice Address - Phone:423-734-3436
Practice Address - Fax:423-734-3486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty