Provider Demographics
NPI:1770980864
Name:GLEN FOREST COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:GLEN FOREST COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:PRIDDY
Authorized Official - Last Name:SCHEPKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-467-3314
Mailing Address - Street 1:906 N PARHAM RD
Mailing Address - Street 2:#206
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-6456
Mailing Address - Country:US
Mailing Address - Phone:804-467-3314
Mailing Address - Fax:
Practice Address - Street 1:906 N PARHAM RD
Practice Address - Street 2:#206
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-6456
Practice Address - Country:US
Practice Address - Phone:804-467-3314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty