Provider Demographics
NPI:1598347502
Name:SERVE COUNSELING AND CONSULTING, PLLC
Entity Type:Organization
Organization Name:SERVE COUNSELING AND CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:240-476-7671
Mailing Address - Street 1:201 N FAIRFAX ST STE 14
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2674
Mailing Address - Country:US
Mailing Address - Phone:240-476-7671
Mailing Address - Fax:877-447-0147
Practice Address - Street 1:201 N FAIRFAX ST STE 14
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2674
Practice Address - Country:US
Practice Address - Phone:240-476-7671
Practice Address - Fax:877-447-0147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)