Provider Demographics
NPI:1720352842
Name:TOTAL CONSULTING AND PSYCHOLOGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:TOTAL CONSULTING AND PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/MARKETING
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:D
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-270-0100
Mailing Address - Street 1:241 FORREST AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-1120
Mailing Address - Country:US
Mailing Address - Phone:757-480-0190
Mailing Address - Fax:757-480-0191
Practice Address - Street 1:241 FORREST AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-1120
Practice Address - Country:US
Practice Address - Phone:757-480-0190
Practice Address - Fax:757-480-0191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA907357103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty