Provider Demographics
NPI:1942708680
Name:CONFIDENTIAL COUNSELING LLC
Entity Type:Organization
Organization Name:CONFIDENTIAL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BURLAR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:540-834-8296
Mailing Address - Street 1:13012 WILLOW POINT DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-0264
Mailing Address - Country:US
Mailing Address - Phone:540-834-8296
Mailing Address - Fax:
Practice Address - Street 1:12806 WILLOW POINT DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-0258
Practice Address - Country:US
Practice Address - Phone:540-834-8296
Practice Address - Fax:540-898-1046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-29
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040102711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty