Provider Demographics
NPI:1467160051
Name:ASSOCIATES AND BEHAVIORAL COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:ASSOCIATES AND BEHAVIORAL COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:D
Authorized Official - Last Name:DUFF
Authorized Official - Suffix:
Authorized Official - Credentials:BSW, QMHP
Authorized Official - Phone:334-718-7425
Mailing Address - Street 1:11815 FOUNTAIN WAY STE 300 #7734
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4448
Mailing Address - Country:US
Mailing Address - Phone:334-718-7425
Mailing Address - Fax:
Practice Address - Street 1:11815 FOUNTAIN WAY STE 300 #7734
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4448
Practice Address - Country:US
Practice Address - Phone:334-718-7425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty