| Counsel Connect, Llc | |
|
3604 E. River Road South Chesterfield VA 23803 | |
| (804) 898-3800 | |
| (804) 392-5607 |
| Full Name | Counsel Connect, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3604 E. River Road, South Chesterfield, Virginia |
| Authorized Official Name and Position | Britni Higginbotham (EXECUTIVE DIRECTOR, OWNER) |
| Authorized Official Contact | 8049260587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counsel Connect, Llc 6819 Bixby Ln Chesterfield VA 23838-6002 Ph: () - | Counsel Connect, Llc 3604 E. River Road South Chesterfield VA 23803 Ph: (804) 898-3800 |
| NPI Number | 1407312820 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407312820 | NPI | - | NPPES |
| 30015311070003 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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