Provider Demographics
NPI:1750954038
Name:DOVE COUNSELING SERVICE
Entity type:Organization
Organization Name:DOVE COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-725-3337
Mailing Address - Street 1:PO BOX 549
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23061-0549
Mailing Address - Country:US
Mailing Address - Phone:804-699-3238
Mailing Address - Fax:804-699-3731
Practice Address - Street 1:6558 MAIN ST
Practice Address - Street 2:MORGAN BLDG. STE 1
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-2306
Practice Address - Country:US
Practice Address - Phone:804-699-3238
Practice Address - Fax:804-699-3731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty