Organization Name: | JERIOUS COUNSELING SERVICES, LLC |
NPI Number: | 1649511874 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACQUELINE TAYLOR (CEO) |
Mailing Address: | 5108 Greenwich Road Virginia Beach |
State: | VA US |
Postal Code: | 23462 |
Phone Number: | 7575189673 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2013 |
NPI Last Update Date: | 03/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1604-05-001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |