Provider Demographics
NPI:1740413434
Name:NATIONAL COUNSELING GROUP, INC
Entity type:Organization
Organization Name:NATIONAL COUNSELING GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:OAKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-980-7219
Mailing Address - Street 1:PO BOX 11247
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1247
Mailing Address - Country:US
Mailing Address - Phone:877-566-9624
Mailing Address - Fax:804-359-1387
Practice Address - Street 1:16035 CONTINENTAL BOULEVARD
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-2383
Practice Address - Country:US
Practice Address - Phone:804-767-3470
Practice Address - Fax:804-479-8219
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL COUNSELING GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-27
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA352101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty