| Original Counseling Services, Llc | |
|
2131 Tannin Pl Apt 214 Vienna VA 22182-4607 | |
| (301) 535-8368 | |
| (571) 605-7290 |
| Full Name | Original Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2131 Tannin Pl Apt 214, Vienna, Virginia |
| Authorized Official Name and Position | Ori Adure Onazi (LICENSED PROFESIONAL COUNSELOR) |
| Authorized Official Contact | 3015358368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Original Counseling Services, Llc 9480 Main St # 1241 Fairfax VA 22031-4032 Ph: (571) 408-9146 | Original Counseling Services, Llc 2131 Tannin Pl Apt 214 Vienna VA 22182-4607 Ph: (301) 535-8368 |
| NPI Number | 1275423329 |
|---|---|
| Provider Enumeration Date | 07/08/2025 |
| Last Update Date | 07/08/2025 |
| Certification Date | 07/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275423329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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