Intracoastal Counseling & Consulting, Pllc

LBN: Intracoastal Counseling & Consulting, Pllc
Intracoastal Counseling & Consulting, Pllc is an health care organization with primary practice located at 12736 Petrel Xing , Midlothian VA 23112-2959. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Intracoastal Counseling & Consulting, Pllc can be contacted via phone (252) 571-7235, or through Berry, Temple B. via phone (252) 571-7235.

Contact Information

Primary practice address
12736 Petrel Xing Midlothian VA 23112-2959
Phone: (252) 571-7235
Fax: (252) 631-0344
Website:
Map and Directions
Authorized official contact:
Name: Berry, Temple B. Licensed Clinical Social Worker (LCSW)
Phone: (252) 571-7235

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1861144982
LBN Legal business name Intracoastal Counseling & Consulting, Pllc
DBA Doing business as
Authorized official Berry, Temple B. Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2022
Last updated Jan 20th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers