Provider Demographics
NPI:1891279204
Name:LAKEVIEW COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:LAKEVIEW COUNSELING SERVICES, LLC
Other - Org Name:LAKEVIEW COUNSELING SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER LESLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-966-7050
Mailing Address - Street 1:1 COLUMBUS CTR STE 610
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6722
Mailing Address - Country:US
Mailing Address - Phone:757-966-7050
Mailing Address - Fax:888-974-2116
Practice Address - Street 1:1 COLUMBUS CTR STE 610
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6722
Practice Address - Country:US
Practice Address - Phone:757-966-7050
Practice Address - Fax:888-974-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-21
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty