Provider Demographics
NPI:1770852436
Name:HYPE COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:HYPE COUNSELING SERVICES LLC
Other - Org Name:HYPE COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-213-0259
Mailing Address - Street 1:3333 W MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-4636
Mailing Address - Country:US
Mailing Address - Phone:804-213-0259
Mailing Address - Fax:804-254-4656
Practice Address - Street 1:3333 W MARSHALL ST
Practice Address - Street 2:SUITE A
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-4613
Practice Address - Country:US
Practice Address - Phone:804-213-0259
Practice Address - Fax:804-254-4656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-23
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1291-03-001251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1770852436Medicaid