Provider Demographics
NPI:1639202765
Name:CHRISTIAN COUNSELING SERVICES
Entity Type:Organization
Organization Name:CHRISTIAN COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:MARKS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:434-426-5361
Mailing Address - Street 1:2203 GRAVES MILL RD STE C
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-4297
Mailing Address - Country:US
Mailing Address - Phone:434-525-9006
Mailing Address - Fax:800-486-0913
Practice Address - Street 1:2203 GRAVES MILL RD STE C
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-4297
Practice Address - Country:US
Practice Address - Phone:434-525-9006
Practice Address - Fax:800-486-0913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003934101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA249501OtherBCBS