Organization Name: | NORTHERN NECK LIFE CONSULTANTS, PLLC |
NPI Number: | 1629485115 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALBERT LEONIDAS ARCHARD (PRESIDENT) |
Mailing Address: | 25 Office Park Dr Ste 2 Kilmarnock |
State: | VA US |
Postal Code: | 224822805 |
Phone Number: | 8043563008 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2014 |
NPI Last Update Date: | 07/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904005207 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |