Provider Demographics
NPI:1639628126
Name:CENTER FOR URGENT COUNSELING LLC
Entity Type:Organization
Organization Name:CENTER FOR URGENT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:DEVERE
Authorized Official - Last Name:FARR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CSOTP
Authorized Official - Phone:804-796-7887
Mailing Address - Street 1:211 N 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-2509
Mailing Address - Country:US
Mailing Address - Phone:804-796-9667
Mailing Address - Fax:804-796-9667
Practice Address - Street 1:211 N 5TH AVE
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2509
Practice Address - Country:US
Practice Address - Phone:804-796-9667
Practice Address - Fax:804-796-9667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040014711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty