Provider Demographics
NPI:1659032605
Name:CENTER FOR PROFESSIONAL COUNSELING, LPC
Entity Type:Organization
Organization Name:CENTER FOR PROFESSIONAL COUNSELING, LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:COLSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMHC
Authorized Official - Phone:571-527-8197
Mailing Address - Street 1:1200 S ARLINGTON RIDGE RD APT 104
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-1940
Mailing Address - Country:US
Mailing Address - Phone:703-627-0931
Mailing Address - Fax:
Practice Address - Street 1:1200 S ARLINGTON RIDGE RD APT 104
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-1940
Practice Address - Country:US
Practice Address - Phone:703-627-0931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health