Provider Demographics
NPI: | 1649315847 |
---|---|
Name: | TRI CITIES COUNSELING SERVICES LLC |
Entity type: | Organization |
Organization Name: | TRI CITIES COUNSELING SERVICES LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CATHERINE |
Authorized Official - Middle Name: | C |
Authorized Official - Last Name: | RIGGS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LCSW |
Authorized Official - Phone: | 804-526-5335 |
Mailing Address - Street 1: | 3660 BOULEVARD |
Mailing Address - Street 2: | SUITEC |
Mailing Address - City: | COLONIAL HEIGHTS |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 23834-1345 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 804-526-5335 |
Mailing Address - Fax: | 804-526-5337 |
Practice Address - Street 1: | 3660 BOULEVARD |
Practice Address - Street 2: | SUITEC |
Practice Address - City: | COLONIAL HEIGHTS |
Practice Address - State: | VA |
Practice Address - Zip Code: | 23834-1345 |
Practice Address - Country: | US |
Practice Address - Phone: | 804-526-5335 |
Practice Address - Fax: | 804-526-5337 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-02-21 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |