Provider Demographics
NPI:1275423329
Name:ORIGINAL COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:ORIGINAL COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ORI
Authorized Official - Middle Name:ADURE
Authorized Official - Last Name:ONAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-535-8368
Mailing Address - Street 1:9480 MAIN ST # 1241
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4032
Mailing Address - Country:US
Mailing Address - Phone:571-408-9146
Mailing Address - Fax:571-605-7290
Practice Address - Street 1:2131 TANNIN PL APT 214
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-4607
Practice Address - Country:US
Practice Address - Phone:301-535-8368
Practice Address - Fax:571-605-7290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty