Organization Name: | SWIFT CREEK COUNSELING, LLC |
NPI Number: | 1043655715 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLEN HOPE THORNTON-LOVE (THERAPIST/OWNER) |
Mailing Address: | 2801 Boulevard Suite F Colonial Heights |
State: | VA US |
Postal Code: | 238342323 |
Phone Number: | 8043349862 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2013 |
NPI Last Update Date: | 05/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 090400636 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |