Provider Demographics
NPI:1013634195
Name:LOUISA PSYCHOLOGICAL CONSULTING PC
Entity Type:Organization
Organization Name:LOUISA PSYCHOLOGICAL CONSULTING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALETA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:EDS, NCSP
Authorized Official - Phone:540-223-0837
Mailing Address - Street 1:PO BOX 2189
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:VA
Mailing Address - Zip Code:23093-3689
Mailing Address - Country:US
Mailing Address - Phone:540-223-0837
Mailing Address - Fax:
Practice Address - Street 1:102 ELM AVENUE
Practice Address - Street 2:
Practice Address - City:LOUISA
Practice Address - State:VA
Practice Address - Zip Code:23093-2309
Practice Address - Country:US
Practice Address - Phone:540-223-0837
Practice Address - Fax:540-500-5916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty