Healthcare Provider Details

I. General information

NPI: 1205533510
Provider Name (Legal Business Name): ACCOMPLISHED COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2023
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 GREENBRIER CIR STE 210
CHESAPEAKE VA
23320-2641
US

IV. Provider business mailing address

870 GREENBRIER CIR STE 210
CHESAPEAKE VA
23320-2641
US

V. Phone/Fax

Practice location:
  • Phone: 757-937-1173
  • Fax:
Mailing address:
  • Phone: 757-937-1173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: WENDY GOODMAN
Title or Position: CEO
Credential:
Phone: 757-613-6401