Provider Demographics
NPI:1841846680
Name:NEW PERSPECTIVE COUNSELING AND WELLNESS, LLC
Entity type:Organization
Organization Name:NEW PERSPECTIVE COUNSELING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:W
Authorized Official - Last Name:HALTOM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-822-2993
Mailing Address - Street 1:2630 HUSSEY LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-1107
Mailing Address - Country:US
Mailing Address - Phone:804-822-2993
Mailing Address - Fax:
Practice Address - Street 1:4206 CHAMBERLAYNE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-5010
Practice Address - Country:US
Practice Address - Phone:804-822-2993
Practice Address - Fax:804-377-9047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1457396400Medicaid
VA0904005981OtherPROFESSIONAL LICENSE