| Organization Name: | THERAPEUTIC IN HOME COUNSELING |
| NPI Number: | 1063669414 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA SMITH (HOUSE SUPERVISOR) |
| Mailing Address: | 1949 Vesonder Rd Petersburg |
| State: | VA US |
| Postal Code: | 238052933 |
| Phone Number: | 8046402101 |
| Fax Number: | 8778796336 |
| NPI Enumeration Date: | 08/27/2008 |
| NPI Last Update Date: | 11/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1261 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |