Provider Demographics
NPI:1922713346
Name:THE COUNSELING CENTER GROUP, VIRGINIA, LLC
Entity Type:Organization
Organization Name:THE COUNSELING CENTER GROUP, VIRGINIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BARASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-742-2282
Mailing Address - Street 1:8030 WOODMONT AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3027
Mailing Address - Country:US
Mailing Address - Phone:301-742-2282
Mailing Address - Fax:
Practice Address - Street 1:8030 WOODMONT AVE FL 3
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3027
Practice Address - Country:US
Practice Address - Phone:301-742-2282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty