Provider Demographics
NPI:1639787799
Name:NATIONAL CONSORTIUM FOR MENTLA HEALTH COUNSELORS (NCMHC)
Entity Type:Organization
Organization Name:NATIONAL CONSORTIUM FOR MENTLA HEALTH COUNSELORS (NCMHC)
Other - Org Name:NCMHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BUTTS-VALENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:540-419-5498
Mailing Address - Street 1:PO BOX 901
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22555-0901
Mailing Address - Country:US
Mailing Address - Phone:540-419-5498
Mailing Address - Fax:
Practice Address - Street 1:2052 RICHMOND HWY STE 109108
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7286
Practice Address - Country:US
Practice Address - Phone:540-419-5498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty