INFINITY COUNSELING CENTER, LLC (NPI# 1780880112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780880112 |
| Entity Type | Organization |
| Organization Name | INFINITY COUNSELING CENTER, LLC |
| Practice Address |
320 W Ridge Rd Wytheville VA 24382-1009 |
| Practice Telephone | 2762288775 |
| Practice Fax Number | 2762288776 |
| Mailing Telephone | 2762288775 |
| Mailing Fax Number | 2762288776 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | DR. CHRISTOPHER MICHAEL CARUSI (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2762288775 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810003040 | VA | Behavioral Health & Social Service Providers |
| Street Address |
320 W RIDGE RD |
| City | WYTHEVILLE |
| State | VA |
| Zip Code | 24382-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760631337 | Angelia Marie Berry | Psychologist | 320 W Ridge Rd, Wytheville, VA 24382-1009 | 2008-09-18 |
| 1124200498 | Anthony John Gage IIi | Social Worker | 320 W Ridge Rd, Wytheville, VA 24382-1009 | 2007-11-28 |
| 1427242692 | Roger Lee Andrews Jr. | Social Worker | 320 W Ridge Rd, Wytheville, VA 24382-1009 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709118 | Pt Solutions LLC | Physical Therapist | 1050 Holston Road, Wytheville, VA 24382 | 2020-01-10 |
| 1881233377 | Amie S Newberry | Physical Therapist | 1050 Holston Rd, Wytheville, VA 24382 | 2019-12-31 |
| 1174160618 | Erin Leigh Dejesus | Family Medicine | 375 W Ridge Rd, Wytheville, VA 24382 | 2019-12-03 |
| 1629639497 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 425 Grayson Presbyterian Road, Wytheville, VA 24382 | 2019-06-24 |
| 1023527926 | Emily Kingrey | Occupational Therapist | 800 E Main St., Suite 310, Wytheville, VA 24382 | 2017-09-22 |
| 1184149247 | Linda Huber | Driver | 610 E Washington St, Wytheville, VA 24382 | 2017-08-10 |
| 1578987558 | Family Preservation Services, Inc | Community/Behavioral Health | 695 East Marshall Street, Wytheville, VA 24382 | 2014-02-11 |
| 1255774121 | Forest Pharmacy Inc | Pharmacy | 1787 W Lee Highway, Suite B, Wytheville, VA 24382 | 2013-04-10 |
| 1447500400 | Guardian Pharmacy of Virginia LLC | Pharmacy | 860 Stafford Umberger Dr, Wytheville, VA 24382 | 2012-09-17 |
| 1669604385 | Catherine Elizabeth Russell | Physical Therapist | 710 West Ridge Rd, Suites E & F, Wytheville, VA 24382 | 2009-08-13 |
| Find all providers in zip 24382 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346331303 | Robert W Smith | Psychologist | 1035 W Main St Ste A, Wytheville, VA 24382-2106 | 2006-09-27 |
| 1760631337 | Angelia Marie Berry | Psychologist | 320 W Ridge Rd, Wytheville, VA 24382-1009 | 2008-09-18 |
| 1700071719 | Deborah L Saneda Phd | Psychologist | 430 E Main St, Suite A, Wytheville, VA 24382-2351 | 2007-09-12 |
| 1053534776 | Ronald Christopher Qualls | Psychologist | 770 W Ridge Rd, Wytheville, VA 24382-1046 | 2007-04-11 |
| 1083799597 | Southwestern Virginia Counseling and Psychological Services | Psychologist | 1035 W Main St Ste A, Wytheville, VA 24382-2106 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593603 | Tina Tehrani Nawaz | Psychologist | 23909 Heather Meadow Dr, Ashburn, VA 20148-1767 | 2020-09-16 |
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1174135917 | Elizabeth Dehart Richardson | Psychologist | 3023 Arrowhead Rd, Rockingham, VA 22801-8682 | 2020-08-22 |
| 1558973131 | Saharay Elizabeth Martinez | Psychologist | 26 Zenith Loop, Newport News, VA 23601-1270 | 2020-08-17 |
| 1881204097 | Maria Elena Burke | Psychologist | 108 Colonels Way, Williamsburg, VA 23185-5105 | 2020-08-03 |
| 1699385013 | Celeste Macdonald Kelly | Psychologist | 250 Wylderose Cmns, Midlothian, VA 23113-6883 | 2020-08-01 |
| 1811515794 | Thomas Craig Foster Jr. | Psychologist | 115 Bulifants Blvd Ste A, Williamsburg, VA 23188-5720 | 2020-07-08 |
| 1225655012 | Drew Taylor Bassett | Psychologist | 1970 Roanoke Blvd # 116b1, Salem, VA 24153-6404 | 2020-06-29 |
| 1851917843 | Nathaniel Andrew | Psychologist | 3112 Honeywood Ln Apt E, Roanoke, VA 24018-8853 | 2020-06-25 |
| 1548886674 | Anita L Boss | Psychologist | 1200 Prince St, Alexandria, VA 22314-2936 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | WYTHEVILLE |
| Zip Code | 24382 |
Please comment or provide details below to improve the information on INFINITY COUNSELING CENTER, LLC.
| 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.