Provider Demographics
NPI:1982815320
Name:TESSIE SMITH SADLER INC
Entity Type:Organization
Organization Name:TESSIE SMITH SADLER INC
Other - Org Name:VIRGINIA COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER EMP
Authorized Official - Prefix:MS
Authorized Official - First Name:TESSIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SADLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:434-774-7559
Mailing Address - Street 1:PO BOX 301
Mailing Address - Street 2:
Mailing Address - City:SOUTH HILL
Mailing Address - State:VA
Mailing Address - Zip Code:23970-0301
Mailing Address - Country:US
Mailing Address - Phone:434-774-7559
Mailing Address - Fax:
Practice Address - Street 1:219 E ATLANTIC ST
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-2003
Practice Address - Country:US
Practice Address - Phone:434-774-7559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040060711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty