Provider Demographics
NPI:1922695592
Name:RELEASE IT COUNSELING
Entity Type:Organization
Organization Name:RELEASE IT COUNSELING
Other - Org Name:RELEASE IT COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-347-0703
Mailing Address - Street 1:422 BOONE FARM RD
Mailing Address - Street 2:
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-8055
Mailing Address - Country:US
Mailing Address - Phone:252-751-1150
Mailing Address - Fax:252-300-0399
Practice Address - Street 1:157 N MAIN ST STE F
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-4565
Practice Address - Country:US
Practice Address - Phone:757-347-0703
Practice Address - Fax:855-940-3709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty