Provider Demographics
NPI:1518425172
Name:VIAMONTIE COUNSELING AND CONSULTING SERVICE LLC
Entity Type:Organization
Organization Name:VIAMONTIE COUNSELING AND CONSULTING SERVICE LLC
Other - Org Name:VIAMONTIE CONSULTANTS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:VIAMONTIE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:302-307-6558
Mailing Address - Street 1:9 CARDENTI CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-6833
Mailing Address - Country:US
Mailing Address - Phone:302-307-6558
Mailing Address - Fax:
Practice Address - Street 1:256 CHAPMAN RD STE 203
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5415
Practice Address - Country:US
Practice Address - Phone:302-307-6558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-03
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty