Provider Demographics
NPI:1760013163
Name:EPOCH COUNSELING & CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:EPOCH COUNSELING & CONSULTING SERVICES, LLC
Other - Org Name:CASSELTON CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REVARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:PRETLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-778-7685
Mailing Address - Street 1:4525 W HUNDRED RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1741
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4525 W HUNDRED RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1741
Practice Address - Country:US
Practice Address - Phone:804-778-7645
Practice Address - Fax:804-778-7686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty