| Ivy Counseling Center | |
|
20 E Tabb St Suite 100 Petersburg VA 23803-4541 | |
| (804) 312-7469 | |
| Not Available |
| Full Name | Ivy Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20 E Tabb St, Petersburg, Virginia |
| Authorized Official Name and Position | Arsheia L Jones (LPC/OWNER) |
| Authorized Official Contact | 8043127469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Counseling Center 308 New Castle Dr Colonial Heights VA 23834-2415 Ph: (804) 312-7469 | Ivy Counseling Center 20 E Tabb St Suite 100 Petersburg VA 23803-4541 Ph: (804) 312-7469 |
| NPI Number | 1891227641 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 03/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891227641 | NPI | - | NPPES |
| 1366982936 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0701006383 (Virginia) | Primary |
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