Provider Demographics
NPI:1720337405
Name:RAFALA PROFESSIONAL COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:RAFALA PROFESSIONAL COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-829-0036
Mailing Address - Street 1:700 SOUTHRIDGE PKWY
Mailing Address - Street 2:SUITE 301B
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3723
Mailing Address - Country:US
Mailing Address - Phone:540-829-0036
Mailing Address - Fax:540-829-6452
Practice Address - Street 1:700 SOUTHRIDGE PKWY
Practice Address - Street 2:SUITE 301B
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3723
Practice Address - Country:US
Practice Address - Phone:540-829-0036
Practice Address - Fax:540-829-6452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty