Provider Demographics
NPI:1619450434
Name:HEALING CIRCLE COUNSELING AND SERVICES. LLC
Entity Type:Organization
Organization Name:HEALING CIRCLE COUNSELING AND SERVICES. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ZAFFRAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-482-0852
Mailing Address - Street 1:1711 WINDINGRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23238-4181
Mailing Address - Country:US
Mailing Address - Phone:804-482-0852
Mailing Address - Fax:
Practice Address - Street 1:8600 QUIOCCASIN RD STE 201
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5514
Practice Address - Country:US
Practice Address - Phone:804-482-0852
Practice Address - Fax:804-729-3525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040063971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty