Provider Demographics
NPI:1841051612
Name:TWEEDY MENTORING SERVICES LLC
Entity type:Organization
Organization Name:TWEEDY MENTORING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:ALPHONSO
Authorized Official - Last Name:TWEEDY
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:434-258-5633
Mailing Address - Street 1:PO BOX 6323
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24505-6323
Mailing Address - Country:US
Mailing Address - Phone:434-258-5633
Mailing Address - Fax:
Practice Address - Street 1:615 PERRYMONT AVE STE 238
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-1137
Practice Address - Country:US
Practice Address - Phone:434-258-5633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty