Provider Demographics
NPI:1265516116
Name:TOTAL LIFE COUNSELING, INC.
Entity type:Organization
Organization Name:TOTAL LIFE COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:MARSHALL
Authorized Official - Last Name:FURMAN
Authorized Official - Suffix:I
Authorized Official - Credentials:LPC , LMFT
Authorized Official - Phone:540-989-1383
Mailing Address - Street 1:5401 FALLOWATER LN
Mailing Address - Street 2:SUITE C
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0948
Mailing Address - Country:US
Mailing Address - Phone:540-989-1383
Mailing Address - Fax:540-989-8092
Practice Address - Street 1:5401 FALLOWATER LN
Practice Address - Street 2:SUITE C
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0948
Practice Address - Country:US
Practice Address - Phone:540-989-1383
Practice Address - Fax:540-989-8092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA260269OtherANTHEM