Organization Name: | POWHATAN FAMILY COUNSELING AND EDUCATION CENTER |
NPI Number: | 1659578870 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA L BRIDGES (BOOKKEEPER) |
Mailing Address: | 2156 Plainview Center Powhatan |
State: | VA US |
Postal Code: | 23139 |
Phone Number: | 8045989577 |
Fax Number: | 8045980086 |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 04/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0810000169 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |