Provider Demographics
NPI:1750093217
Name:EVA COUNSEL , LLC
Entity type:Organization
Organization Name:EVA COUNSEL , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAKEENA
Authorized Official - Middle Name:ONAY
Authorized Official - Last Name:NOEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-221-8030
Mailing Address - Street 1:1790 TAPPAHANNOCK BLVD
Mailing Address - Street 2:
Mailing Address - City:TAPPAHANNOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22560-9348
Mailing Address - Country:US
Mailing Address - Phone:805-221-8030
Mailing Address - Fax:
Practice Address - Street 1:1790 TAPPAHANNOCK BLVD
Practice Address - Street 2:
Practice Address - City:TAPPAHANNOCK
Practice Address - State:VA
Practice Address - Zip Code:22560-9348
Practice Address - Country:US
Practice Address - Phone:805-221-8030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Single Specialty