Provider Demographics
NPI:1699821975
Name:NEW VISION COUNSELING SERVICE,LLC
Entity Type:Organization
Organization Name:NEW VISION COUNSELING SERVICE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:540-465-4441
Mailing Address - Street 1:105 STONY POINTE WAY
Mailing Address - Street 2:SUITE 221
Mailing Address - City:STRASBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22657-2670
Mailing Address - Country:US
Mailing Address - Phone:540-465-4441
Mailing Address - Fax:540-465-4439
Practice Address - Street 1:105 STONY POINTE WAY
Practice Address - Street 2:SUITE 221
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657-2670
Practice Address - Country:US
Practice Address - Phone:540-465-4441
Practice Address - Fax:540-465-4439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040048731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA084566OtherCOMMUNITY HEALTH
VA184328OtherANTHEM
WV=========OtherACORDIA