| Avenue Counseling Pllc | |
|
6216 Scottsville Rd Jeffersonton VA 22724-2342 | |
| (540) 219-3247 | |
| Not Available |
| Full Name | Avenue Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6216 Scottsville Rd, Jeffersonton, Virginia |
| Authorized Official Name and Position | Dominique Jeroldine Leon Black (OWNER/CLINICIAN) |
| Authorized Official Contact | 5402193247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenue Counseling Pllc 6216 Scottsville Rd Jeffersonton VA 22724-2342 Ph: (540) 219-3247 | Avenue Counseling Pllc 6216 Scottsville Rd Jeffersonton VA 22724-2342 Ph: (540) 219-3247 |
| NPI Number | 1386513810 |
|---|---|
| Provider Enumeration Date | 11/03/2025 |
| Last Update Date | 11/03/2025 |
| Certification Date | 11/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386513810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Barima Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2035 Armstrong Ter, Jeffersonton, VA 22724 Phone: 571-246-0003 |