Provider Demographics
NPI:1982993952
Name:BEST PRACTICES COACHING COUNSELING CONSULTATION & TRAINING
Entity Type:Organization
Organization Name:BEST PRACTICES COACHING COUNSELING CONSULTATION & TRAINING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:NEWSOME
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LSATP, CSOTP
Authorized Official - Phone:757-333-1421
Mailing Address - Street 1:411 LAKE CREST DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-1734
Mailing Address - Country:US
Mailing Address - Phone:757-333-1421
Mailing Address - Fax:757-485-3222
Practice Address - Street 1:411 LAKE CREST DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-1734
Practice Address - Country:US
Practice Address - Phone:757-333-1421
Practice Address - Fax:757-485-3222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0812000014101Y00000X
VA0718000051101YA0400X
VA0701002816101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA154705001OtherDEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES