Provider Demographics
NPI:1336698489
Name:ABUNDANT COUNSELING SOLUTIONS
Entity Type:Organization
Organization Name:ABUNDANT COUNSELING SOLUTIONS
Other - Org Name:MAKEYSHIA MAJOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAKEYSHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-343-4010
Mailing Address - Street 1:4004 GENESEE PL
Mailing Address - Street 2:101
Mailing Address - City:LAKE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-8303
Mailing Address - Country:US
Mailing Address - Phone:571-989-2284
Mailing Address - Fax:571-526-5981
Practice Address - Street 1:4004 GENESEE PL
Practice Address - Street 2:101
Practice Address - City:LAKE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-8303
Practice Address - Country:US
Practice Address - Phone:571-989-2284
Practice Address - Fax:571-526-5981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-30
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040074631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1902106081OtherANTHEM
VA0307-0182OtherCARE FIRST
VA4939494OtherAETNA
VA4563966OtherCIGNA PPO HMO
VATAX IDOtherTRICARE STANDARD AND PRIME
VA600880973OtherMAGELLAN
VANAOtherBLUE CROSS BLUE SHIELD
VA1902106081Medicaid
1902106081OtherOPTUM HEALTH
VA1902106081OtherBEACON HEALTH OPTIONS
VA1902106081OtherVIRGINIA PREMIER
VA163654OtherVALUE OPTION
VA334275OtherKAISER
VA519217OtherMHN