Healthcare Provider Details

I. General information

NPI: 1669314829
Provider Name (Legal Business Name): BICKHAM COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 W SPRINGBROOK RD
BROADWAY VA
22815-9527
US

IV. Provider business mailing address

170 CHESTNUT RIDGE DR APT D
HARRISONBURG VA
22801-3464
US

V. Phone/Fax

Practice location:
  • Phone: 757-618-9388
  • Fax:
Mailing address:
  • Phone: 757-618-9388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOANNA BICKHAM
Title or Position: PRESIDENT
Credential: LPC
Phone: 757-618-9388