Provider Demographics
NPI:1699182097
Name:THERAPY AND LIFE COUNSELING
Entity Type:Organization
Organization Name:THERAPY AND LIFE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ZWEIBAHMER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:703-878-6670
Mailing Address - Street 1:14377 HEREFORD RD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-2107
Mailing Address - Country:US
Mailing Address - Phone:703-878-6670
Mailing Address - Fax:703-878-3370
Practice Address - Street 1:14377 HEREFORD RD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-2107
Practice Address - Country:US
Practice Address - Phone:703-878-6670
Practice Address - Fax:703-878-3370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004238101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty