Provider Demographics
NPI:1679925929
Name:BEYOND THE BURDEN COUNSELING SERVICES
Entity Type:Organization
Organization Name:BEYOND THE BURDEN COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JONI
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:HURSEY-WINGATE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-773-9511
Mailing Address - Street 1:4310 INDIAN RIVER RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23325-3100
Mailing Address - Country:US
Mailing Address - Phone:757-773-9511
Mailing Address - Fax:
Practice Address - Street 1:4310 INDIAN RIVER RD
Practice Address - Street 2:SUITE 4
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23325-3100
Practice Address - Country:US
Practice Address - Phone:757-773-9511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004622251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health