Provider Demographics
NPI:1255042909
Name:VIRGINIA VALLEY COUNSELING LLC
Entity type:Organization
Organization Name:VIRGINIA VALLEY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:ACREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-635-6254
Mailing Address - Street 1:4835 WATERLICK RD STE A
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-1696
Mailing Address - Country:US
Mailing Address - Phone:440-635-6254
Mailing Address - Fax:
Practice Address - Street 1:4835 WATERLICK RD STE A
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-1696
Practice Address - Country:US
Practice Address - Phone:440-635-6254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty