Provider Demographics
NPI: | 1295529360 |
---|---|
Name: | GENERATIONS COUNSELING & WELLNESS SERVICES LLC |
Entity type: | Organization |
Organization Name: | GENERATIONS COUNSELING & WELLNESS SERVICES LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CLINICIAN |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | KENDRA |
Authorized Official - Middle Name: | LESHARA |
Authorized Official - Last Name: | HUGHES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LPC |
Authorized Official - Phone: | 804-255-9257 |
Mailing Address - Street 1: | 1225 ASHTON VILLAGE CT |
Mailing Address - Street 2: | |
Mailing Address - City: | MIDLOTHIAN |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 23114-4509 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 757-759-5079 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1225 ASHTON VILLAGE CT |
Practice Address - Street 2: | |
Practice Address - City: | MIDLOTHIAN |
Practice Address - State: | VA |
Practice Address - Zip Code: | 23114-4509 |
Practice Address - Country: | US |
Practice Address - Phone: | 757-759-5079 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-04-05 |
Last Update Date: | 2025-04-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Single Specialty |