Healthcare Provider Details

I. General information

NPI: 1740831742
Provider Name (Legal Business Name): HORSE AND SOUL COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2019
Last Update Date: 09/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27195 OLD OFFICE RD
CULPEPER VA
22701-8803
US

IV. Provider business mailing address

27195 OLD OFFICE RD
CULPEPER VA
22701-8803
US

V. Phone/Fax

Practice location:
  • Phone: 540-223-0272
  • Fax:
Mailing address:
  • Phone: 540-223-0272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TARA ELIZABETH HIGGINS
Title or Position: OWNER, LPC
Credential: LPC
Phone: 540-223-0272