CLARKSVILLE COUNSELING CENTER, PLC (NPI# 1083792261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083792261 |
| Entity Type | Organization |
| Organization Name | CLARKSVILLE COUNSELING CENTER, PLC |
| Practice Address |
403 Virginia Avenue Suite F Clarksville VA 23927 |
| Mailing Address |
Po Box 405 Clarksville VA 23927-0405 |
| Practice Telephone | 4343743222 |
| Practice Fax Number | 4343743223 |
| Mailing Telephone | 4343743222 |
| Mailing Fax Number | 4343743223 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD CASTLE (OWNER) |
| Authorized Official Telephone | 4343743222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0701003393 | VA | Behavioral Health & Social Service Providers |
| Street Address |
403 VIRGINIA AVENUE SUITE F |
| City | CLARKSVILLE |
| State | VA |
| Zip Code | 23927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912252958 | Southside Csb | Intermediate Care Facility, Mentally Retarded | 143 Industrial Pky, Clarksville, VA 23927 | 2012-07-16 |
| 1730485905 | Southside Csb | Intermediate Care Facility, Mentally Retarded | 143 Industrial Pkwy, Clarksville, VA 23927 | 2011-02-04 |
| 1346306859 | Reginald S Young | Dentist | 611 Virginia Avenue, Clarksville, VA 23927 | 2006-12-29 |
| 1396830956 | Sabrina Bullock | Midwife | 606 Virginia Avenue, Clarksville, VA 23927 | 2006-10-03 |
| 1831282946 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 1013 Virginia Ave, Clarksville, VA 23927 | 2006-10-02 |
| 1669572897 | Dominion Health Medical Assoc | Legal Medicine | 115 College St, Clarksville, VA 23927 | 2006-09-25 |
| 1255350807 | Clarksville Community Pharmacy, Inc. | Pharmacist | 11226 Hwy. 15 S., Clarksville, VA 23927 | 2006-07-18 |
| 1619974029 | Clarksville Senior Care, LLC | Skilled Nursing Facility | 184 Buffalo Rd, Clarksville, VA 23927 | 2005-06-30 |
| 1861755746 | Rachael Burton | Family Medicine | 115 College St, Clarksville, VA 23927 | 2012-06-16 |
| 1518915651 | Clarksville Senior Care, LLC | Durable Medical Equipment & Medical Supplies | 184 Buffalo Rd, Clarksville, VA 23927 | 2006-05-04 |
| Find all providers in zip 23927 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553599 | Spring Forth Counseling | Counselor | 2515 Wilma Rudolph Blvd Ste 107, Clarksville, TN 37040-5824 | 2020-06-22 |
| 1033734843 | Elizabeth Ann Abruzzese | Counselor | 404 Carson Bailey Ct, Clarksville, TN 37043-1543 | 2020-06-08 |
| 1811511595 | Tamika Payne | Counselor | 3407 Queensbury Rd, Clarksville, TN 37042-8152 | 2020-05-29 |
| 1457988370 | Chandra Christine Moma | Counselor | 2517 Remington Trce, Clarksville, TN 37043-1619 | 2020-03-23 |
| 1932735024 | Douglas Anthony Dixon | Counselor | 1611 Johnson Ln, Clarksville, IN 47129-1405 | 2020-03-20 |
| 1023658648 | Aimee Vaughn | Counselor | 3452 Heatherwood Trce, Clarksville, TN 37040-5735 | 2020-01-11 |
| 1811539539 | Phillip Haney | Counselor | 2032 Lintwood Dr, Clarksville, TN 37042-4107 | 2019-10-15 |
| 1396387171 | Phoenix Rising Counseling LLC | Counselor | 2535 Madison St Ste E, Clarksville, TN 37043-3921 | 2019-10-12 |
| 1194371807 | Elizabeth B Thomas | Counselor | 1662 Golf Club Ln, Clarksville, TN 37043-4897 | 2019-08-18 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 23927 |
Please comment or provide details below to improve the information on CLARKSVILLE COUNSELING CENTER, PLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.