Provider Demographics
NPI:1568214625
Name:SPRINGWELL COUNSELING & SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:SPRINGWELL COUNSELING & SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:434-944-7573
Mailing Address - Street 1:1307 ASHBURN DR
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-4511
Mailing Address - Country:US
Mailing Address - Phone:434-944-7573
Mailing Address - Fax:
Practice Address - Street 1:1307 ASHBURN DR
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-4511
Practice Address - Country:US
Practice Address - Phone:434-944-7573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health